Individual provider · NPI-1

Vera Johnson, OT

Occupational Therapist · Eagle River, AK

NPI number1265992085
StatusActive
Last updated in NPPESMar 20, 2019

Details

NPI
1265992085
Entity type
Individual (NPI-1)
Name
Vera Johnson
Credential
OT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2019
Last updated
Mar 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist464AKYes

Practice location

11901 Business Blvd Ste 209
Eagle River, AK 99577-7701

Phone 907-694-6002

Mailing address

11901 Business Blvd Ste 209
Eagle River, AK 99577-7701

Phone 907-694-6002

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