Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Bernadette Johnson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1902154982

Kim Bernadette Johnson, COTA/L is an Occupational Therapy Assistant in Bolingbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

235 Remington Blvd Ste I
Bolingbrook, IL 60440-5826
Phone: (630) 312-8022
Fax: (630) 312-8660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057001876 (IL)

Record details

NPI number1902154982
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 22, 2012
Last updated in NPPESAugust 22, 2012

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