Individual
HAELEY RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
423 N HARPER ST, MONTGOMERY CITY, MO 63361-1719
(573) 289-5385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2026003981
MO
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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