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

JENNIFER JOHNSON, COTA

Active Sole Proprietor

Physical Disabilities Residential Treatment Facility · BRYAN, OH

Registration Details

NPI Number: 1336549013
Provider Type: Individual
Gender: Female
NPI Issued: Aug 29, 2014 (11.646355705506 yrs)
Last Updated: Aug 29, 2014
License: OTA-05816 (OH)
Sole Proprietor: Yes

Practice Information

Address: 1104 WESLEY AVE

BRYAN, OH, 435062579
Browse OH providers · Browse ZIP 43506
Phone: 4196365071
Primary Specialty: Physical Disabilities Residential Treatment Facility
320700000X

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.