Individual
KERRI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3385 DEXTER CT, STE 301, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Mailing address
3385 DEXTER CT, STE 301, DAVENPORT, IA 52807-3471
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00908
IA
225X00000X
Occupational Therapist
056-004280
IL
Other
Enumeration date
03/09/2006
Last updated
04/14/2016
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