Individual
MRS. ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
700 W FABYAN PKWY, BATAVIA, IL 60510-1269
(877) 396-4148
Mailing address
700 W FABYAN PKWY, BATAVIA, IL 60510-1269
(877) 396-4148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011895
IL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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