MRS. Tiffany J Johnson, PTA

NPI #1376893263 in Summit, Wisconsin

Provider Information

NPI Number: 1376893263
Entity Type: Individual
Name: MRS. Tiffany J Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 18, 2012
Last Updated: Sep 7, 2016

Practice Location

Address: 36500 AURORA DR
City: Summit
State: Wisconsin
ZIP Code: 53066-4899
Phone: (262) 434-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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