Individual
QUENTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Mailing address
205 UNITED WAY, FREDERIC, WI 54837-8938
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4044-19
WI
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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