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1912410937
KIM JOHNSON
OAK LAWN, IL
NPI
1912410937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056005552)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
KIM JOHNSON OT
5009 W 95TH ST STE A
OAK LAWN, IL 60453-2401
Phone number: 708-499-2622
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Mailing Address
KIM JOHNSON OT
PO BOX 379
ORLAND PARK, IL 60462-0379
Phone number: 708-460-9833
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