Individual
SAMANTHA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-5823
(218) 485-5865
Mailing address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-5823
(218) 485-5865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10386
MN
Other
Enumeration date
11/22/2016
Last updated
03/05/2024
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