EBBA M JOHNSON

KENOSHA, WI
NPI1497929012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  2940)
Enumeration Date2008-04-15
Last Update Date2009-04-02
Business Address
-- EBBA M JOHNSON PT
524 74TH STREET
KENOSHA, WI 53143
Phone number: 262-496-0258
Mailing Address
-- EBBA M JOHNSON PT
524 74TH STREET
KENOSHA, WI 53143
Phone number: 262-496-0258
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