Individual
JUSTIN D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1650 LEE LN, OCCUPATIONAL HEALTH AND SPORTS & FAMILY MEDICINE CENTER, BELOIT, WI 53511-3935
(608) 362-0211
(608) 364-4670
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2230
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-008589
IL
225X00000X
Occupational Therapist
Primary
5666-26
WI
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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