Individual
SUSAN A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
354 N MAIN ST, OREGON MANOR LTD, OREGON, WI 53575
(608) 835-3535
Mailing address
231 ORCHARD DR, OREGON, WI 53575-1128
(608) 835-8380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4601027
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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