Kim Bernadette Johnson, COTA/L
NPI #1902154982 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1902154982
- Entity Type
- Individual
- Name
- Kim Bernadette Johnson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 22, 2012
- Last Updated
- Aug 22, 2012
Practice Location
- Address
- 235 REMINGTON BLVD
- Address 2
- SUITE I
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-5826
- Phone
- (630) 312-8022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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