Individual
CYNTHIA ROSE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
122 VERNON ST, WESTBY, WI 54667-1122
(608) 634-2707
Mailing address
122 VERNON ST, WESTBY, WI 54667-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4661-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40224770
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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