Individual
KAREN JEANNE JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5010
Mailing address
3129 42ND AVE S, MINNEAPOLIS, MN 55406-2240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4221
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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