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Melissa J Johnson, OTR

Occupational Therapist, Pediatrics in Gilbert, AZ. Individual provider (NPI-1).

NPI number1124199898
StatusActive
Last updated in NPPESJul 10, 2007

Details

NPI
1124199898
Entity type
Individual (NPI-1)
Name
Melissa J Johnson
Credential
OTR
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Jul 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics3865AZYes
225X00000X Occupational TherapistOT 006597OH
225XE1200X Occupational Therapist, ErgonomicsOT 006597OH
225XH1300X Occupational Therapist, Human FactorsOT 006597OH
225XN1300X Occupational Therapist, NeurorehabilitationOT 006597OH
225XP0200X Occupational Therapist, PediatricsOT 006597OH
225X00000X Occupational Therapist3865AZ
225XN1300X Occupational Therapist, Neurorehabilitation3865AZ

Practice location

4001 E Baseline Rd
Ste B2
Gilbert, AZ 85234-2726

Phone 480-539-5629 · Fax 480-539-5669

Mailing address

1295 N Ash St
Apt. #816
Gilbert, AZ 85233-2767

Phone 810-599-3150

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