Johnson, Ricia Rae

Johnson, Ricia Rae is an sole proprietor health care provider with primary practice located at 4415 West 36 1/2 Street , St. Louis Park MN 55416. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Johnson, Ricia Rae can be contacted via phone (952) 927-9717.

Contact Information

Primary practice address
4415 West 36 1/2 Street St. Louis Park MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 201244 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 201244 Minnesota

Profile Details

NPI number 1639360514
LBN Legal business name Johnson, Ricia Rae
Credentials OTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Dec 15th, 2011 - about 13 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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