Individual
TAMI JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2838 STEIN BLVD, EAU CLAIRE, WI 54701-6272
(520) 468-5060
Mailing address
2838 STEIN BLVD, EAU CLAIRE, WI 54701-6272
(520) 468-5060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4403
AZ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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