Individual
KATHRYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5300 BEACON HILL RD, MINNETONKA, MN 55345-5859
(952) 988-8980
Mailing address
280 CENTRAL AVE S, WAYZATA, MN 55391-1818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107281
MN
Other
Enumeration date
06/19/2019
Last updated
05/08/2024
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