Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 6180 | OH |
N | 2251E1200X | Ergonomics | OT 6180 | OH |
N | 225XE1200X | Ergonomics | OT 6180 | OH |
N | 225XH1200X | Occupational Therapist - Hand | OT 6180 | OH |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT 6180 | OH |
NPI | 1033270202 |
---|---|
Provider Name | Jennifer L Johnson |
First Address | Huber Heights, OH 45424 |
Second Address | Huber Heights, OH 45424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 26/08/2008 |