Individual
MRS. KATISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14526 S HOXIE AVE, BURNHAM, IL 60633-2214
(773) 443-3492
Mailing address
14526 S HOXIE AVE, BURNHAM, IL 60633-2214
(773) 443-3492
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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