Individual
JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W RUSSELL ST, STE. 109, SALINE, MI 48176-1160
(734) 429-0208
Mailing address
420 W RUSSELL ST, STE. 109, SALINE, MI 48176-1160
(734) 429-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
225XH1200X
Hand Occupational Therapist
9105000235
MI
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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