Individual
MRS. SHIRLEY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1689 POPLAR LN, PAINESVILLE, OH 44077-6127
(440) 861-2691
Mailing address
1689 POPLAR LN, PAINESVILLE, OH 44077-6127
(440) 861-2691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
003821
OH
282E00000X
Long Term Care Hospital
Primary
003821
OH
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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