NPI Profile for DAWN M JOHNSON in LAKE ELMO, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Behavior Technician |
106S00000X | |||
Occupational Therapy Assistant |
224Z00000X |
| NPI # | 1285156240 |
|
| Status | Active | |
| Credentials | COTA (Certified Occupational Therapy Assistant) | |
| Entity | Individual | |
| Enumeration date | 07/12/2017 | |
| Last updated | 09/01/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAWN M JOHNSON
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