Jacquelyn Johnson, OTR/L

NPI #1710241286 in Princeton, Illinois

Provider Information

NPI Number: 1710241286
Entity Type: Individual
Name: Jacquelyn Johnson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 29, 2012
Last Updated: Jun 29, 2012

Practice Location

Address: 530 PARK AVE E
City: Princeton
State: Illinois
ZIP Code: 61356-3901
Phone: (815) 876-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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