Individual
MRS. VALERIE JOY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5636 39TH AVE S, MINNEAPOLIS, MN 55417-2918
(612) 727-1984
Mailing address
5636 39TH AVE S, MINNEAPOLIS, MN 55417-2918
(612) 727-1984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103144
MN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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