MRS. Jennifer Robin Johnson

NPI #1972772523 in Moline, Illinois

Provider Information

NPI Number: 1972772523
Entity Type: Individual
Name: MRS. Jennifer Robin Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 1844 AVENUE OF THE CITIES
City: Moline
State: Illinois
ZIP Code: 61265-4884
Phone: (309) 798-6925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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