MRS. Mary Miller Johnson, OTR/L

NPI #1174712996 in Alex City, Alabama

Provider Information

NPI Number: 1174712996
Entity Type: Individual
Name: MRS. Mary Miller Johnson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: OTR/L
Enumeration Date: Oct 17, 2007
Last Updated: Oct 17, 2007

Practice Location

Address: 1784 ELKAHATCHEE RD
City: Alex City
State: Alabama
ZIP Code: 35010-4800
Phone: (256) 329-0868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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