Individual
ABBY ROSE JOHNSON
Active
Individual
ABBY ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2174
ND
2251P0200X
Pediatric Physical Therapist
11169
MN
2251P0200X
Pediatric Physical Therapist
2174
ND
Other
Enumeration date
07/26/2017
Last updated
04/30/2025
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