Organization
GROW & GLOW THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLA K JOHNSON MSOT, OTR/L (OWNER)
(414) 375-5975
Entity
Organization
Contact information
Practice address
337 E WILSON ST, MILWAUKEE, WI 53207-1571
(414) 375-5975
Mailing address
337 E WILSON ST, MILWAUKEE, WI 53207-1571
(414) 375-5975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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