IndividualActive
Jennifer Johnson, COTA
NPI 1336549013 · Physical Disabilities Residential Treatment Facility · Bryan, OH
Provider details
- NPI number
- 1336549013
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA-05816 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1104 Wesley Ave
Bryan, OH 43506-2579
Phone: (419) 636-5071
Approximate (ZIP-level) locationGet directions
Mailing address
413 E Washington St
Montpelier, OH 43543-1575
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2014-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.