Bryan Douglas Johnson

NPI #1174148308 in Duluth, Minnesota

Provider Information

NPI Number: 1174148308
Entity Type: Individual
Name: Bryan Douglas Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 12, 2020
Last Updated: Jun 12, 2020

Practice Location

Address: 2501 RICE LAKE RD
City: Duluth
State: Minnesota
ZIP Code: 55811-4819
Phone: (864) 513-6864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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