Individual
JOY JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9250 FORESTVIEW LN N, MAPLE GROVE, MN 55369-3946
(715) 864-4489
Mailing address
9250 FORESTVIEW LN N, MAPLE GROVE, MN 55369-3946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1910
MN
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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