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1558492751
SUSAN JEAN JOHNSON
EDINA, MN
NPI
1558492751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 2884)
Enumeration Date
2007-03-08
Last Update Date
2020-04-02
Business Address
Mrs. SUSAN JEAN JOHNSON PT
8100 W 78TH ST SUITE 200
EDINA, MN 55439-2516
Phone number: 952-914-8065
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Mailing Address
Mrs. SUSAN JEAN JOHNSON PT
4757 LYMAN CT
EXCELSIOR, MN 55331-9282
Phone number: 952-470-6701
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ACTIVE LIFE PHYSICAL THERAPY AND WELLNESS LLC