Individual
KRISTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7574
(608) 417-5936
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7574
(608) 417-5936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8250
WI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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