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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN RICHARD JOHNSON, COTA

Active Sole Proprietor

MR. KEVIN RICHARD JOHNSON, COTA is a Occupational Therapy Assistant healthcare provider located in WEYAUWEGA, Wisconsin. NPI 1962654301 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WEYAUWEGA, WI

Registration Details

NPI Number
1962654301
Provider Type
Individual
Gender
Male
NPI Issued
Oct 16, 2008 (17.813646396314 yrs)
Last Updated
Oct 16, 2008
License
1141-027 (WI)
Sole Proprietor
Yes

Practice Information

Address
717 E ALFRED ST
WEYAUWEGA, WI, 549839024
Browse WI providers · Browse ZIP 54983
Phone
9208673121
Fax
9208673997
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in WEYAUWEGA, WI

Name Credential NPI
KIRSTEN CORINNE WILSON COTA 1154533909
MRS. HOPE MARIE OSHEFSKY C.O.T.A 1457539132
MRS. TAMMI ANN SCHELLIN COTA 1922255629
TATIANA JANSEN 1043009210
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.