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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GROVER CLEVELAND JOHNSON IV

Active

GROVER CLEVELAND JOHNSON IV is a Occupational Therapist healthcare provider located in JEFFERSON CITY, Missouri. NPI 1023759206 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · JEFFERSON CITY, MO

Registration Details

NPI Number
1023759206
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2022 (4.3300670921427 yrs)
Last Updated
Apr 5, 2022
License
2018037368 (MO)

Practice Information

Address
3600 COUNTRY CLUB DR STE 530A
JEFFERSON CITY, MO, 651091060
Browse MO providers · Browse ZIP 65109
Phone
5736067100
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in JEFFERSON CITY, MO

Name Credential NPI
SARAH FOSTER 1669582540
JENNIFER MAURER 1972655280
MRS. SARAH BETH REID PTA 1063567097
DENISE RACKERS 1851517213
LAURA ALLEN PTA 1770702409
ROCKIE CRANE PTA 1992924435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.