Individual
SUSAN RENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1210 GEMINI PL, SUITE 200, COLUMBUS, OH 43240-6109
(614) 262-0907
(614) 262-0822
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005403
OH
Other
Enumeration date
07/11/2011
Last updated
10/31/2019
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