LISA MARIE JOHNSON

SUPERIOR, WI
NPI1619078342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1018019)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Mrs. LISA MARIE JOHNSON PTA
1420 OAKES AVENUE
SUPERIOR, WI 54880
Phone number: 715-394-6355
Mailing Address
Mrs. LISA MARIE JOHNSON PTA
724 5TH STREET
PROCTOR, MN 55810
Phone number: 218-349-3585
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