Bonnie R Johnson in Rockford - Developmental Therapist
Bonnie R Johnson - NPI 1063635548
Bonnie R Johnson is a Developmental Therapist in Rockford, Illinois. Bonnie R Johnson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Bonnie R Johnson is 1063635548. The last update date is 2007-07-08.
Bonnie R Johnson's current location address is 1006 Fieldcrest Dr, Rockford, Illinois. You can contact this provider via phone number 8153973345 and fax number 8152299846. The mailing address for Bonnie R Johnson is 1006 Fieldcrest Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie R Johnson |
|---|---|
| Address | 1006 Fieldcrest Dr, Rockford, Illinois |
| Phone Number | 8153973345 |
| Fax Number | 8152299846 |
| Sole Proprietor | Y |
| Credentials | DT |
NPI Number Detail
| NPI Number | 1063635548 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1006 Fieldcrest Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611084162 |
| Phone Number | 8153973345 |
| Fax Number | 8152299846 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | BJ36560400P |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique identifier code issued to Bonnie R Johnson by the Centers for Medicare & Medicaid Services?
The Bonnie R Johnson has been assigned the NPI (National Provider Identifier) 1063635548. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bonnie R Johnson is geographically located?
The Bonnie R Johnson is physically situated at the following location: 1006 Fieldcrest Dr, Rockford, IL, 611084162.
What is Bonnie R Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bonnie R Johnson is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063635548 to Bonnie R Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1063635548 to Bonnie R Johnson on 2007-04-11.
As of what date was the information pertaining to Bonnie R Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonnie R Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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