Individual
JULIE JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2440 BRIDGE AVE STE 300, ALBERT LEA, MN 56007-2098
(507) 552-0022
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7547
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683227000
—
MN
Enumeration date
03/28/2008
Last updated
03/29/2022
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