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Individual

LEAH CHRISTINA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7900 W 28TH ST, SAINT LOUIS PARK, MN 55426-3011
(952) 920-8380
Mailing address
2548 PLEASANT AVE, MINNEAPOLIS, MN 55404
(206) 588-9384

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104191
MN

Other

Enumeration date
03/14/2012
Last updated
04/27/2012
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