Individual
DEREK PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
109 5TH ST NE, LITTLE FALLS, MN 56345-2732
(320) 631-1104
(320) 631-1105
Mailing address
109 5TH ST NE, LITTLE FALLS, MN 56345-2732
(320) 631-1104
(320) 631-1105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8125
MN
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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