Individual
MS. HEATHER CHRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 224-1848
Mailing address
9231 16TH AVE S, BLOOMINGTON, MN 55425-2305
(612) 414-5825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201700
MN
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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