Individual
LAURIE JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811
(763) 520-0355
Mailing address
17016 77TH AVE N, MAPLE GROVE, MN 55311-3743
(763) 416-2788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100897
MN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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