Individual
JOHANNA TOMCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-9357
Mailing address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6135-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6135-26
—
WI
Enumeration date
09/22/2017
Last updated
01/16/2020
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