Sue Ellen Johnson

NPI #1154698900 in Soldiers Grove, Wisconsin

Provider Information

NPI Number: 1154698900
Entity Type: Individual
Name: Sue Ellen Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 2011

Practice Location

Address: 101 SUNSHINE BLVD
City: Soldiers Grove
State: Wisconsin
ZIP Code: 54655-7106
Phone: (608) 624-5127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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