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1912171299
LISA JEAN JOHNSON
CHICAGO, IL
NPI
1912171299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 56007922)
Enumeration Date
2008-04-17
Last Update Date
2008-04-17
Business Address
Ms. LISA JEAN JOHNSON OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 773-520-5253
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Mailing Address
Ms. LISA JEAN JOHNSON OTR/L
916 W WISCONSIN ST 2E
CHICAGO, IL 60614-3198
Phone number: 773-520-5253
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