Individual
MARCIA L JOHNSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
225 1ST AVE NE, OSSEO, MN 55369-1201
(763) 424-0534
Mailing address
9100 SCHUTTE LN, CORCORAN, MN 55340-2111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2123
MN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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