WAYNE JOHANSEN, PT
Physical Therapist
Active
Individual
NPI: 1629064126
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 987 (WI) |
Frequently Asked Questions
NPI 1629064126 is the National Provider Identifier for WAYNE JOHANSEN, PT, a Physical Therapist provider located in Baraboo, WI. This NPI was enumerated on September 21, 2005.
WAYNE JOHANSEN, PT practices at 626 14TH ST, Baraboo, WI 53913.
Quick Facts
- NPI
- 1629064126
- Type
- Individual
- Enumerated
- Sep 21, 2005
- Last Updated
- Jul 9, 2007
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