Individual
BRIDGET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2423 GLENWOOD AVE, JOLIET, IL 60435-5483
(815) 725-9992
Mailing address
6549 S ELLIS AVE APT 1S, CHICAGO, IL 60637-4221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009401
IL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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