Individual
JOSIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP/BOCO
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
BOCO51213
MN
224P00000X
Prosthetist
Primary
CP3385
MN
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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