Individual
MRS. JOHANNA RACHEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
808 CORNERSTONE XING, WATERFORD, WI 53185-4562
(262) 514-0120
Mailing address
808 CORNERSTONE XING, WATERFORD, WI 53185-4562
(262) 514-0120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1178-019
WI
Other
Enumeration date
12/10/2008
Last updated
02/04/2024
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