Individual
GENEVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1491 OLD HIGHWAY 19, RED WING, MN 55066-1136
(763) 258-6125
Mailing address
1491 OLD HIGHWAY 19, RED WING, MN 55066-1136
(763) 258-6125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106752
MN
Other
Enumeration date
08/30/2023
Last updated
01/17/2025
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