Individual
JOHNA ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 MEADOWLARK DR, CARTERVILLE, IL 62918-1613
(618) 751-3153
(618) 985-4374
Mailing address
PO BOX 38, CARTERVILLE, IL 62918-0038
(618) 751-3153
(618) 985-4374
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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