Individual
CAROLYN MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
1401 W 32ND ST APT A, MINNEAPOLIS, MN 55408-3402
(952) 451-5192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2687
MN
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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