Kim Johnson, OT

NPI #1912410937 in Oak Lawn, Illinois

Provider Information

NPI Number: 1912410937
Entity Type: Individual
Name: Kim Johnson, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 13, 2017
Last Updated: Nov 13, 2017

Practice Location

Address: 5009 W 95TH ST STE A
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2401
Phone: (708) 499-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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