Individual
MRS. DAWNE MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
105 TALL OAKS DR, EUREKA, MO 63025-3593
(636) 587-2739
Mailing address
105 TALL OAKS DR, EUREKA, MO 63025-3593
(636) 587-2739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013002443
MO
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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