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Individual
RICHARD JOHNSON
Active
Individual
RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
30393
MD
2255A2300X
Athletic Trainer
3779
MN
Other
Enumeration date
04/29/2024
Last updated
05/22/2025
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