JUSTIN INDIGO JOHNSON

STURGEON BAY, WI
NPI1891314746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  14964-24)
Enumeration Date2020-04-10
Last Update Date2024-08-05
Business Address
JUSTIN INDIGO JOHNSON DPT
1300 EGG HARBOR RD STE 152
STURGEON BAY, WI 54235-1248
Phone number: 920-746-0410
Mailing Address
JUSTIN INDIGO JOHNSON DPT
1655 SYCAMORE ST APT 2
STURGEON BAY, WI 54235-3811
Phone number: 847-873-4626
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