Individual
KENDRA ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
3139 ULYSSES ST NE, MINNEAPOLIS, MN 55418-2244
(320) 333-3391
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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