Individual
BRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1260 STATE HWY 25, MONTICELLO, MN 55362-8447
(763) 260-5401
Mailing address
1260 STATE HIGHWAY 25, MONTICELLO, MN 55362-8447
(763) 260-5401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9690
MN
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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