Daniel Ethan Johnson, P.T.

NPI #1235169608 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1235169608
Entity Type: Individual
Name: Daniel Ethan Johnson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1555 NORTHWAY DR
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-4555
Phone: (320) 259-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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