Dave Andrew Johansen
Dave Andrew Johansen is a Rehabilitation Practitioner in Pasadena, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
940 Avenue 64Pasadena, CA 91105
Phone: (323) 254-2274
Fax: (323) 254-9087
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1750670287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2011 |
| Last updated in NPPES | July 25, 2013 |
| Mailing address | 940 Avenue 64, Pasadena, CA 91105 |
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