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MS. GAIL I. R. JOHNSON

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013074129

Individual Registrant:
MS. GAIL I. R. JOHNSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
5121 WASHINGTON ST.  BUTTE DES MORTS, WI 54927-0346 US
Tel: 920-540-4808  Fax: --

Contact information for business:
5121 WASHINGTON ST. P.O. BOX 346 BUTTE DES MORTS, WI 54927-0346 US
Tel: 920-540-4808  Fax: --

Registration Information:
NPI: 1013074129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
WI3701-024

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
40294500WI05




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