Individual
MARJORIE C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8236 S MADISON ST, BURR RIDGE, IL 60527-5811
(630) 230-9788
Mailing address
324 N SPRING AVE, LA GRANGE PARK, IL 60526-1812
(708) 352-0520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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