Individual
MADALYNN BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
Mailing address
3780 E DENTON AVE, SAINT FRANCIS, WI 53235-5904
(414) 731-6369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4048-19
WI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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