Johnson, Brooke Lauren

Johnson, Brooke Lauren is an individual health care provider with primary practice located at 1401 Campus Dr , Clive IA 50325-6500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnson, Brooke Lauren can be contacted via phone (515) 381-6519.

Contact Information

Primary practice address
1401 Campus Dr Clive IA 50325-6500
Phone: (515) 381-6519
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 278756 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 101624 Iowa

Profile Details

NPI number 1215662911
LBN Legal business name Johnson, Brooke Lauren
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2022
Last updated Jul 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215662911 NPPES
Kentucky Other 278756 KENTUCKY BOARD OF OCCUPATIONAL THERAPY
Kentucky Other 101624 KENTUCKY BOARD OF OCCUPATIONAL THERAPY

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