Individual
MS. KATHLEEN JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1532
Mailing address
309 SARATOGA ST S, SAINT PAUL, MN 55105-2437
(612) 467-1532
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
100307
MN
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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