Individual
JAMIE THERESE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FINLEY RD, DOWNERS GROVE, IL 60515-1041
(630) 495-6800
(630) 495-8200
Mailing address
12138 SARKIS DR, MOKENA, IL 60448-8742
(708) 899-4077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009396
IL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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