Individual
JENNIFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4017-B6 CLOUD PARK DR, HUBER HEIGHTS, OH 45424
(937) 235-9470
Mailing address
4017-B6 CLOUD PARK DR, HUBER HEIGHTS, OH 45424
(937) 235-9470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 6180
OH
225XE1200X
Ergonomics Occupational Therapist
OT 6180
OH
225XH1200X
Hand Occupational Therapist
OT 6180
OH
225XP0200X
Pediatric Occupational Therapist
OT 6180
OH
Other
Enumeration date
12/12/2006
Last updated
08/26/2008
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