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Individual

MICHELE KAREN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
30 BRUCE ST, DULUTH, MN 55803-2501
(218) 591-8779
Mailing address
30 BRUCE ST, DULUTH, MN 55803-2501
(218) 591-8779

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102384
MN
225X00000X
Occupational Therapist
4080-026
WI

Other

Enumeration date
05/24/2010
Last updated
03/03/2011
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