Individual
ALEXANDRIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 747-8400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16906-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294719
—
WI
Enumeration date
07/31/2024
Last updated
02/25/2025
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