Marcia L Johnsrud, PT

NPI #1083626196 in Osseo, Minnesota

Provider Information

NPI Number: 1083626196
Entity Type: Individual
Name: Marcia L Johnsrud, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 225 1ST AVE NE
City: Osseo
State: Minnesota
ZIP Code: 55369-1201
Phone: (763) 424-0534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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