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Jennifer Johnson, COTA
Physical Disabilities Residential Treatment Facility in Bryan, Ohio
NPI 1336549013

Jennifer Johnson is a Physical Disabilities Residential Treatment Facility based in Montpelier, OH. Jennifer Johnson practices in Bryan, OH and has the professional credentials of COTA. The NPI Number for Jennifer Johnson is 1336549013 and holds a License No. OTA-05816 (Ohio).

The current practice location address for Jennifer Johnson is 1104 Wesley Ave, Bryan, OH and can be reached out via phone at 419-636-5071.

Location: 1104 Wesley Ave, Bryan, OH, 43543-1575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336549013
Provider Name
Jennifer Johnson
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
1104 Wesley Ave, Bryan, OH, 43543-1575
Phone Number
419-636-5071
Fax Number
Provider Enumeration Date
08/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1104 Wesley Ave
City
Bryan
State
Ohio
Zip
43506-2579
Phone Number
419-636-5071
Fax Number
person
Provider Business Mailing Address Details
Address
1104 Wesley Ave
City
Bryan
State
Ohio
Zip
43506-2579
Phone Number
419-636-5071
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
OTA-05816 (Ohio)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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