Individual
JESSICA LINDSEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2904 4TH AVE NE, SUITE 300, PUYALLUP, WA 98372-7053
(253) 840-2313
(253) 840-6340
Mailing address
1143 LAKEMOOR DR, WOODBURY, MN 55129-5307
(651) 436-6883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7988
MN
Other
Enumeration date
08/13/2007
Last updated
08/26/2010
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