Individual
ELIZABETH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1401 E 100TH ST, BLOOMINGTON, MN 55425-2615
(952) 888-7751
Mailing address
12790 PRIMROSE LN APT 405, EDEN PRAIRIE, MN 55344-7634
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
107592
MN
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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