Individual
TERRIE BRAUN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
614 S ROCK AVE, VIROQUA, WI 54665-1936
(608) 637-2171
Mailing address
1004 CARDINAL ST NW, PO BOX 235, BANGOR, WI 54614-6705
(608) 486-2027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
649-19
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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