Individual
DEBORAH ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
415 MCKINLEY AVE N, BATTLE CREEK, MI 49017-4674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009861
MI
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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