Individual
DAWN K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
901 BRIDGE CREEK LN, AUGUSTA, WI 54722-2603
(414) 750-4980
Mailing address
4103 60TH ST, KENOSHA, WI 53144-2509
(262) 652-1111
(262) 652-1124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5242-26
WI
225X00000X
Occupational Therapist
118678
TX
225X00000X
Occupational Therapist
Primary
5242-26
WI
Other
Enumeration date
03/07/2013
Last updated
03/10/2020
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