Elise Johnson, OTR

NPI #1639522279 in Bloomer, Wisconsin

Provider Information

NPI Number: 1639522279
Entity Type: Individual
Name: Elise Johnson, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 19, 2016
Last Updated: Jul 19, 2016

Practice Location

Address: 1731 17TH AVE
City: Bloomer
State: Wisconsin
ZIP Code: 54724-1512
Phone: (715) 568-4669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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