Individual
JENNIFER E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5442
Mailing address
9667 AMBER GLOW CT, FISHERS, IN 46037-9444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001255A
IN
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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