Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ricia Rae Johnson, OTA/L

Individual provider Occupational Therapy Assistant · NPI 1639360514

MS. Ricia Rae Johnson, OTA/L is an Occupational Therapy Assistant in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Mississippi.

Licensed in
MN, MS
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4415 W 36 1/2 St
St Louis Park, MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
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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 201244 (MN)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 201244 (MS)

Record details

NPI number1639360514
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA/L
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESDecember 15, 2011

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