Individual
ALICE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
625 N JACKSON AVE, SPRINGFIELD, MN 56087-1714
(507) 723-7723
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10074
MN
Other
Enumeration date
10/19/2017
Last updated
08/12/2021
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