IndividualActive
Ricia Johnson, OTA/L
NPI 1639360514 · Occupational Therapy Assistant · St. Louis Park, MN
Provider details
- NPI number
- 1639360514
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201244 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4415 West 36 1/2 Street
St. Louis Park, MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
Approximate (ZIP-level) locationGet directions
Mailing address
4415 West 36 1/2 Street
St. Louis Park, MN 55416
Registry dates
- Enumerated
- 2007-08-06
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.