Patricia Jacoby Johnson P.T.

NPI 1205971736 - Physical Therapist - 225100000X

NPI Details
NPI 1205971736
Gender Female
Enumeration Date 02/21/2007
Last Updated 10/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
N88W16598 MAIN ST
MENOMONEE FALLS WI, 53051-2845, US
Phone (262) 502-0028
Fax
Business Location
3844 OAK RIDGE CT
COLGATE WI, 53017-9361, US
Phone (262) 628-1975
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 4556 - 024
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According to our database, Patricia Jacoby Johnson P.T. NPI is 1205971736, taxonomy code is 225100000X and license number is 4556 - 024, license state is located at Wisconsin. Patricia Jacoby Johnson P.T. physically located at N88w16598 Main St, Menomonee Falls WI, 53051-2845. NPI Number Patricia Jacoby Johnson P.T. has the Individual type.

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1205971736 NPI number is provided on an as is basis without warranty of any kind. 1205971736 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Jacoby Johnson P.T. are for informational purposes only.