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Individual
DR. BRADLEY ZENOR JOHNSON
Active
Individual
DR. BRADLEY ZENOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1415624
WI
225100000X
Physical Therapist
Primary
14156
WI
Other
Enumeration date
05/23/2018
Last updated
06/20/2018
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