DANIEL ETHAN JOHNSON

SAINT CLOUD, MN
NPI1235169608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  5358)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
-- DANIEL ETHAN JOHNSON P.T.
1555 NORTHWAY DR
SAINT CLOUD, MN 56303-4555
Phone number: 320-259-4100
Mailing Address
-- DANIEL ETHAN JOHNSON P.T.
1555 NORTHWAY DR
SAINT CLOUD, MN 56303-4555
Phone number: 320-259-4100
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