Individual
MS. CANDACE D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7737 S KINGSTON AVE, UNIT #1N, CHICAGO, IL 60649-4713
(773) 540-1434
Mailing address
7737 S KINGSTON AVE, UNIT #1N, CHICAGO, IL 60649-4713
(773) 540-1434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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