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Search › Wisconsin › 225200000X

Johanna Young, PTA

NPI 1578708160 · on the registry since 2008 · sole proprietor

Practice

Address
808 Cornerstone Xing
Waterford, WI 53185
Phone
(262) 514-0120
Organisation at this address
Waterford Place
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-04

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