Individual
CHERI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 N WALKER ST, GRAYTOWN, OH 43432-9800
(419) 627-3940
Mailing address
1661 N WALKER ST, GRAYTOWN, OH 43432-9800
(419) 627-3940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02171
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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