Individual
KJERSTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1170 E BELVIDERE RD STE 108, GRAYSLAKE, IL 60030-2034
(847) 543-4800
(847) 543-4297
Mailing address
1170 E BELVIDERE RD STE 108, GRAYSLAKE, IL 60030-2034
(847) 543-4800
(847) 543-4297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015608
IL
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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