Kenyana T Johnson, DEVELOPMENTAL THERAP
NPI #1710202361 in Calumet Park, Illinois
Provider Information
- NPI Number
- 1710202361
- Entity Type
- Individual
- Name
- Kenyana T Johnson, DEVELOPMENTAL THERAP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- DEVELOPMENTAL THERAP
- Enumeration Date
- Apr 6, 2010
- Last Updated
- Apr 6, 2010
Practice Location
- Address
- 12620 S WOOD ST
- City
- Calumet Park
- State
- Illinois
- ZIP Code
- 60827-5916
- Phone
- (708) 955-4509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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