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Individual

KRISTINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
W129N6889 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0518
(262) 592-4066
Mailing address
3488 TOWNLINE RD, WEST BEND, WI 53095-8743

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3631
WI

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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