BRENT LEE JOHNSON

EDINA, MN
NPI1376136481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  12100)
Enumeration Date2021-02-19
Last Update Date2021-02-19
Business Address
BRENT LEE JOHNSON
6401 FRANCE AVE S
EDINA, MN 55435-2199
Phone number: 952-924-5000
Mailing Address
BRENT LEE JOHNSON
13243 BITTERSWEET ST NW
COON RAPIDS, MN 55448-1214
Phone number:
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