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Individual

MEGAN RAEANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1575 HOOVER DR, NORTH MANKATO, MN 56003-2667
(507) 387-2037
Mailing address
1575 HOOVER DR, NORTH MANKATO, MN 56003-2667
(507) 387-2037

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2753
MN

Other

Enumeration date
04/05/2023
Last updated
04/05/2023
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