Individual
JEANNE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-7599
Mailing address
1090 WILD CHERRY DR, DAYTON, OH 45414-1927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.001830
OH
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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