Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3000 E COLLEGE AVE, APPLETON, WI 54915-3251
(920) 969-0919
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 969-0919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11339-24
WI
Other
Enumeration date
02/15/2010
Last updated
10/24/2022
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