Individual
DANA KATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 732-1554
(208) 732-1400
Mailing address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 732-1554
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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