Individual
RHONDA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805
Mailing address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4406
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806518700
—
MN
01
—
P00171701
MEDICARE RAILROAD
—
Enumeration date
03/24/2006
Last updated
03/25/2021
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