Kathy Marie Johnson, otr
Occupational Therapist in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1124338744
StatusActive
Last updated in NPPESOct 15, 2010
Details
- NPI
- 1124338744
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathy Marie Johnson
- Credential
- otr
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2010
- Last updated
- Oct 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 001190 | NY | Yes |
Practice location
5225 Nesconset Hwy30
Port Jefferson Station, NY 11776-2053
Phone 631-473-4284
Mailing address
18 Sills CtCenterport, NY 11721-1634
Phone 631-754-4172
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All 32 Occupational Therapist providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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