Individual
HEIDI J JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, MINNEAPOLIS, MN 55422-4249
(763) 520-0687
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, MINNEAPOLIS, MN 55422-4249
(763) 520-0687
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52488
WI
Other
Enumeration date
05/05/2006
Last updated
07/25/2008
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