DANETTE E JOHNSON

CHICAGO, IL
NPI1740491190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056006452)
Enumeration Date2007-05-25
Last Update Date2007-07-08
Business Address
Ms. DANETTE E JOHNSON OTR
5758 S MARYLAND AVE # 4A
CHICAGO, IL 60637-1426
Phone number: 773-702-1687
Mailing Address
Ms. DANETTE E JOHNSON OTR
3961 E STATE ROUTE 17
KANKAKEE, IL 60901-8129
Phone number: 773-988-2816