Dolores Ann Johansen, COTA
NPI #1962068452 in Carson City, Michigan
Provider Information
- NPI Number
- 1962068452
- Entity Type
- Individual
- Name
- Dolores Ann Johansen, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 620 N 2ND ST
- City
- Carson City
- State
- Michigan
- ZIP Code
- 48811-9790
- Phone
- (989) 584-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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