Individual
LEAH DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
714 JACKSON ST NE, MINNEAPOLIS, MN 55413-2308
(952) 393-2831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105001
MN
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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