Individual
MS. CAROL MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5500 OPPORTUNITY COURT, MINNETONKA, MN 55343-9020
(952) 930-4267
(952) 950-4279
Mailing address
12611 ORCHARD ROAD, MINNETONKA, MN 55305
(952) 935-5043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100097
MN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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