Individual
ABIGAIL KRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7822
(920) 433-3651
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7241-26
WI
Other
Enumeration date
04/13/2022
Last updated
04/21/2022
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