Individual
CAITLIN ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1505 ORRIN RD, PRESCOTT, WI 54021-1074
(715) 262-5661
Mailing address
W9076 570TH AVE, ELLSWORTH, WI 54011-4528
(715) 441-0192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5557-27
WI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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