Mary Beth Johnson, OT

NPI #1306011655 in Cross Plains, Wisconsin

Provider Information

NPI Number: 1306011655
Entity Type: Individual
Name: Mary Beth Johnson, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 28, 2008
Last Updated: Apr 28, 2008

Practice Location

Address: 7880 SERENE COURT
City: Cross Plains
State: Wisconsin
ZIP Code: 53528
Phone: (608) 798-1636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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