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Individual

ELLA VERONICA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
15371 CROWNCREST RD, PAYNESVILLE, MN 56362-9422
(320) 292-5521
Mailing address
15371 CROWNCREST RD, PAYNESVILLE, MN 56362-9422
(320) 292-5521

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2422-0
HI

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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