Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
E6717 COUNTY ROAD NN, VIROQUA, WI 54665-7724
(608) 547-0487
Mailing address
E6717 COUNTY ROAD NN, VIROQUA, WI 54665-7724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5664-26
WI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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