Individual provider · Type 1 NPI
Bonnie R. Johnson, DT
Developmental Therapist · Rockford, IL
Practice location
1006 Fieldcrest Dr
Rockford, IL 61108-4162
Fax (815) 229-9846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | BJ36560400P (KY) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1063635548
Bonnie R. Johnson, DT's National Provider Identifier is 1063635548, issued on Apr 11, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.