Individual
ASHLEY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
510 E WISCONSIN AVE STE 2, APPLETON, WI 54911-4865
(920) 750-8468
(920) 574-2045
Mailing address
1724 FIELDCREST DR, KAUKAUNA, WI 54130-3050
(920) 585-5797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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