Individual
MRS. BETSY OLSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5075
(815) 971-9809
Mailing address
117 BRIDGEWOOD LN, ROCKTON, IL 61072-3220
(815) 624-2110
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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