Ellen Johnson
Occupational Therapist - Pediatrics
1891 Station Pkwy Nw
Andover
, Minnesota 55304-3341
Ellen Johnson
Occupational Therapist - Pediatrics
1891 Station Pkwy Nw
Andover
, Minnesota 55304-3341
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Ellen Johnson
- 1891 Station Pkwy Nw
- Andover, MN
- Zip : 55304-3341
- Phone :
Second Address
- Ellen Johnson
- 1891 Station Pkwy Nw
- Andover, MN
- Zip : 55304-3341
- Phone : (763) 755-4275
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 105308 | MN |
National Provider Identifier
| NPI | 1073096608 |
|---|---|
| Provider Name | Ellen Johnson |
| First Address | Andover, MN 55304-3341 |
| Second Address | Andover, MN 55304-3341 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2018 |
| Last Update Date | 10/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.