Individual
DAWN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8530 EAGLE POINT BLVD STE 245, LAKE ELMO, MN 55042-8663
(952) 856-2212
Mailing address
4500 PARK GLEN RD STE 475, ST LOUIS PARK, MN 55416-5484
(952) 856-2212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
202182
MN
251G00000X
Community Based Hospice Care Agency
Primary
29960
MN
Other
Enumeration date
07/12/2017
Last updated
09/01/2024
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