Individual
MRS. COURTNEY JILLIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1430 E 4500 S, SALT LAKE CITY, UT 84117-4208
(216) 772-1030
Mailing address
PO BOX 1806, DURHAM, NC 27702-1806
(216) 772-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12151308-4201
UT
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/21/2022
Last updated
09/01/2023
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