Individual
DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 LYNNHURST AVE E, SAINT PAUL, MN 55104-3406
(651) 353-0316
Mailing address
1301 CAMBRIDGE ST APT 310, HOPKINS, MN 55343-1921
(651) 353-0316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2670
MN
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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