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Individual

JESSICA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9349 BLACK MOUNTAIN DR, CONIFER, CO 80433-9519
(720) 819-5350
Mailing address
12216 SHORT CUT RD, CLOVERDALE, IN 46120-8071

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003764
CO

Other

Enumeration date
03/14/2013
Last updated
03/05/2023
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