Laneta Chanelle Johnson, DT
NPI #1992441133 in Forest Park, Illinois
Provider Information
- NPI Number
- 1992441133
- Entity Type
- Individual
- Name
- Laneta Chanelle Johnson, DT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Credential
- DT
- Enumeration Date
- May 10, 2022
- Last Updated
- May 10, 2022
Practice Location
- Address
- 7445 ROOSEVELT RD APT 206-B
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2555
- Phone
- (773) 850-5543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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