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Individual

BRYANNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7125 JANES AVE, WOODRIDGE, IL 60517-2303
(630) 541-3652
Mailing address
72 ASCOT LN APT 2622, WILLOWBROOK, IL 60527-3953

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.015535
IL

Other

Enumeration date
12/13/2024
Last updated
12/13/2024
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