Individual
BRINGA M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-017695
IL
225100000X
Physical Therapist
Primary
11230-024
WI
225100000X
Physical Therapist
7603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174759328
—
WI
Enumeration date
06/02/2009
Last updated
11/01/2019
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