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Individual

JOHANNA MARIE CANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
200 4TH ST SW, FOREST LAKE, MN 55025-1536
(651) 982-8131
Mailing address
3080 HAZELWOOD ST APT 312, MAPLEWOOD, MN 55109-1236

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107793
MN

Other

Enumeration date
12/19/2025
Last updated
12/19/2025
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