Mrs Linda Marie Johnson, MS | |
1703 60th St, Kenosha, WI 53140 | |
(262) 658-4125 | |
(262) 658-2196 |
Full Name | Mrs Linda Marie Johnson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1703 60th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780832212 | NPI | - | NPPES |
42725300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 602154 (Wisconsin) | Primary |
Provider Name | Oasis Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
Mailing Address | Practice Location Address |
---|---|
Mrs Linda Marie Johnson, MS 1000 Beverly Way, Aegis Therapies, Fort Smith, AR 72919 Ph: (877) 823-8375 | Mrs Linda Marie Johnson, MS 1703 60th St, Kenosha, WI 53140 Ph: (262) 658-4125 |
Mrs. Auburn Lea Andes, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6300 67th St, Kenosha, WI 53142 Phone: 262-484-4724 | |
Noel Zanotti, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141 Fax: 262-658-0618 | |
Jacqueline Ann Kubis, SLP- CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3415 Sheridan Road, Kenosha, WI 53140 Phone: 262-653-2941 | |
Diane Arndt, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave, Kenosha, WI 53144 Phone: 262-653-0850 | |
Kaitlyn King, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave., Kenosha, WI 53144 Phone: 262-653-0850 | |
Tarah A Fedenia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141 | |
Sophia Polaris, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave, Kenosha, WI 53144 Phone: 262-653-0850 |