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Individual

MR. CRAIG DENNIS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T

Contact information

Practice address
730 APOLLO DR, SUITE 120, LINO LAKES, MN 55014-3037
(651) 784-7866
(651) 784-7870
Mailing address
7581 9TH ST N, SUITE 100, OAKDALE, MN 55128-6626
(651) 748-4338
(651) 748-2892

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1974
MN

Other

Enumeration date
07/20/2005
Last updated
04/01/2008
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