Individual
MICHELLE RANAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
(719) 574-9547
Mailing address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
(719) 574-9547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2699
CO
Other
Enumeration date
08/25/2009
Last updated
09/20/2012
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