Individual
BARBARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
(651) 227-8471
Mailing address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121H1JO
BCBS
MN
01
—
6404302
MEDICA
MN
01
—
HP43924
HP
MN
Enumeration date
03/27/2007
Last updated
07/08/2007
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