Individual
MRS. JANICE KAY GABRIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
744 8TH AVE NW, VALLEY CITY, ND 58072-2000
(701) 840-0079
Mailing address
744 8TH AVE NW, VALLEY CITY, ND 58072
(701) 845-5834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
756
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30517
BC/BS
ND
05
—
55185
—
ND
Enumeration date
12/27/2007
Last updated
05/31/2023
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