Individual
MAUREEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W BARTLETT RD, BARTLETT, IL 60103-1594
(630) 213-0100
Mailing address
1421 S 6TH ST, ST CHARLES, IL 60174-4036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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