Individual
MARTHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 S 102ND ST, SUITE 340, MILWAUKEE, WI 53227-2466
(414) 329-2500
Mailing address
2448 S 102ND ST, SUITE 340, MILWAUKEE, WI 53227-2466
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-003218
IL
225100000X
Physical Therapist
Primary
3763-24
WI
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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