Individual
ALEXIS PRINCELLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S 20TH ST, MILWAUKEE, WI 53215-4442
(414) 389-3200
Mailing address
4226 N 88TH ST, MILWAUKEE, WI 53222-1719
(414) 630-0630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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