Individual
COURTNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(877) 567-0918
Mailing address
2219 W CHICAGO AVE APT 3, CHICAGO, IL 60622-4795
(630) 531-5600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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