ZACHARY C JOHNSON

KENOSHA, WI
NPI1780052506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  13254-24)
Enumeration Date2015-09-10
Last Update Date2015-11-06
Business Address
ZACHARY C JOHNSON
5708 75TH ST
KENOSHA, WI 53142-3635
Phone number: 262-697-9135
Mailing Address
ZACHARY C JOHNSON
5708 75TH ST
KENOSHA, WI 53142-3635
Phone number: 262-697-9135
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