Kenyana T Johnson DEVELOPMENTAL THERAP

NPI 1710202361 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1710202361
Gender Female
Enumeration Date 04/06/2010
Last Updated 04/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
12620 S WOOD ST
CALUMET PARK IL, 60827-5916, US
Phone (708) 955-4509
Fax
Business Location
12620 S WOOD ST
CALUMET PARK IL, 60827-5916, US
Phone (708) 955-4509
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Kenyana T Johnson DEVELOPMENTAL THERAP NPI is 1710202361, taxonomy code is 222Q00000X Kenyana T Johnson DEVELOPMENTAL THERAP physically located at 12620 S Wood St, Calumet Park IL, 60827-5916. NPI Number Kenyana T Johnson DEVELOPMENTAL THERAP has the Individual type.

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1710202361 NPI number is provided on an as is basis without warranty of any kind. 1710202361 is maintained by the National Plan & Provider Enumeration System. The contents of Kenyana T Johnson DEVELOPMENTAL THERAP are for informational purposes only.