Individual
MRS. ALYSSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
506 REID DR, MOUNT HOREB, WI 53572-1885
(608) 622-6846
Mailing address
506 REID DR, MOUNT HOREB, WI 53572-1885
(608) 622-6846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5677-26
WI
Other
Enumeration date
05/20/2015
Last updated
02/10/2021
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