Individual
MRS. KATHLEEN O'KEEFE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA L
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
2225 GREENWOOD VALLEY DR, RIVER FALLS, WI 54022
(715) 425-1595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2041
WI
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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