| NPI | 1275893943 |
|---|---|
| Former Name | ANDREA CATHERINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9034) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-02-09 |