Individual
ALISON DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
Mailing address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202529
MN
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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