Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM BERNADETTE JOHNSON, COTA/L
Active Sole ProprietorKIM BERNADETTE JOHNSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in BOLINGBROOK, Illinois. NPI 1902154982 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1902154982
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2012 (13.96962928044 yrs)
- Last Updated
- Aug 22, 2012
- License
-
057001876 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
235 REMINGTON BLVDSUITE IBOLINGBROOK, IL, 604405826Browse IL providers · Browse ZIP 60440
- Phone
- 6303128022
- Fax
- 6303128660
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. PEGGY ANN WILKERSON | COTA/L | 1457456758 |
| MRS. DONNA ANN MARASCO | COTA | 1679716724 |
| ANN ELIZABETH GOULD | COTA | 1740928142 |
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.