Mattea Johnson, OTR/L
Occupational Therapist in Fargo, ND. Individual provider (NPI-1).
NPI number1033094792
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1033094792
- Entity type
- Individual (NPI-1)
- Name
- Mattea Johnson
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2025
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 2225 | ND | Yes |
Practice location
3120 25th St S Ste NFargo, ND 58103-6110
Phone 701-205-4194
Mailing address
3120 25th St S Ste NFargo, ND 58103-6110
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