Individual
MRS. JILL MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
W359N5002 BROWN ST, SUITE B, OCONOMOWOC, WI 53066-3366
(262) 366-9340
(262) 560-4100
Mailing address
1622 TALL GRASS CIR, WAUKESHA, WI 53188-2657
(262) 521-9497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3572
WI
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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