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Individual

KRISTINA R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3428 36TH AVE S, MINNEAPOLIS, MN 55406-2704
(612) 501-7192
Mailing address
3428 36TH AVE S, MINNEAPOLIS, MN 55406-2704
(612) 501-7192

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7640
MN

Other

Enumeration date
04/19/2009
Last updated
04/19/2009
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