Individual
SHAUNNA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
32021 COUNTY 24 BLVD, CANNON FALLS, MN 55009-5003
(507) 377-6285
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103850
MN
Other
Enumeration date
02/16/2010
Last updated
02/16/2021
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