Individual
JENNIFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
909 FULTON ST SE STE 4-392, MINNEAPOLIS, MN 55455-4800
(612) 676-4483
(612) 676-4039
Mailing address
909 FULTON ST SE RM 4392, MINNEAPOLIS, MN 55455-4800
(612) 676-4483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105171
MN
Other
Enumeration date
11/15/2011
Last updated
02/13/2021
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