Individual provider · Type 1 NPI
Dawn Marie Johnson, COTA
Community Based Hospice Care Agency · Lake Elmo, MN
NPI number
1285156240
Active
Practice location
8530 Eagle Point Blvd Ste 245
Lake Elmo, MN 55042-8663
Mailing address
4500 Park Glen Rd Ste 475
St. Louis Park, MN 55416-5484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Occupational Therapy Assistant | 224Z00000X | 202182 (MN) |
| Community Based Hospice Care Agency Primary | 251G00000X | 29960 (MN) |
Community Based Hospice Care Agency: Definition to come...
About NPI 1285156240
Dawn Marie Johnson, COTA's National Provider Identifier is 1285156240, issued on Jul 12, 2017. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Sep 1, 2024.