Individual
ALAYNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8849-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310060
—
WI
Enumeration date
03/11/2025
Last updated
03/31/2025
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