Mary Beth Johnson, OTR/L

NPI #1013016708 in St Louis Park, Minnesota

Provider Information

NPI Number: 1013016708
Entity Type: Individual
Name: Mary Beth Johnson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6500 EXCELSIOR BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55426-4702
Phone: (952) 993-6087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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