Individual
ABBY ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Mailing address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
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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