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1144507245
LANDRIE MICHELE JOHANSEN
FORT WORTH, TX
NPI
1144507245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1212126)
Enumeration Date
2011-11-03
Last Update Date
2024-05-18
Business Address
LANDRIE MICHELE JOHANSEN PT, MPT
1100 BRIDGEWOOD DR STE 102
FORT WORTH, TX 76112-0808
Phone number: 855-339-6378
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Mailing Address
LANDRIE MICHELE JOHANSEN PT, MPT
1100 BRIDGEWOOD DR STE 102
FORT WORTH, TX 76112-0808
Phone number: 855-339-6378
Copy
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