Individual
LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 569-6162
Mailing address
7107 STONEY CREEK DR, AUGUSTA, MI 49012-8855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007846
MI
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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