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Octavia Johnson

NPI 1528949633 · on the registry since 2025 · sole proprietor

Practice

Address
7307 W Lisbon Ave
Milwaukee, WI 53216
Phone
(920) 441-6238

Registry record

Primary taxonomy
172A00000X
172A00000X
Sex
Female
Record last updated
2025-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin