Individual
REGINA SCHLICKSUP-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
680 S. FOURTH ST., LOUISVILLE, KY 40202
(217) 337-2377
(217) 337-4609
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(217) 337-2377
(217) 337-4609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056.009362
IL
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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