Individual
ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7872 CENTURY BOULEVAND, CHANHASSEN, MN 55317
(952) 448-9081
Mailing address
7872 CENTURY BOULEVAND, CHANHASSEN, MN 55317
(952) 448-9081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
05/26/2022
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