Individual
BROOKE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103942
MN
225X00000X
Occupational Therapist
Primary
1839
ND
Other
Enumeration date
10/25/2011
Last updated
04/28/2021
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