BENJAMIN BRADLEY JOHNSON

MT PLEASANT, WI
NPI1699379941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15022-24)
Enumeration Date2020-11-27
Last Update Date2020-11-27
Business Address
BENJAMIN BRADLEY JOHNSON
6233 BANKERS RD STE 12
MT PLEASANT, WI 53403-9700
Phone number: 262-771-0404
Mailing Address
BENJAMIN BRADLEY JOHNSON
352A E ROSEDALE AVE
MILWAUKEE, WI 53207-2068
Phone number: 920-287-9966