Individual
JODI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MERRIDIAN ST, SAULT SAINT MARIE, MI 49783
(906) 635-1518
Mailing address
1651 RIVERSIDE DR APT B4, SAULT SAINTE MARIE, MI 49783
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007654
MI
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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