Individual
DARLA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 236-8947
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(612) 863-6029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101083
MN
225X00000X
Occupational Therapist
—
MN
Other
Enumeration date
12/19/2018
Last updated
04/08/2020
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