Individual provider · Type 1 NPI

Jennifer Johnson, COTA

Physical Disabilities Residential Treatment Facility · Bryan, OH

NPI number 1336549013 Active

Practice location

1104 Wesley Ave
Bryan, OH 43506-2579

Call (419) 636-5071 Map

Mailing address

413 E Washington St
Montpelier, OH 43543-1575

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000XOTA-05816 (OH)

Physical Disabilities Residential Treatment Facility: 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.

22 other providers at this address

About NPI 1336549013

Jennifer Johnson, COTA's National Provider Identifier is 1336549013, issued on Aug 29, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Bryan, OH. The record was last updated on Aug 29, 2014.