Shane Johnson, OTR/L

NPI #1548610041 in Surprise, Arizona

Provider Information

NPI Number: 1548610041
Entity Type: Individual
Name: Shane Johnson, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 15, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: 18480 W PORT ROYALE LN
City: Surprise
State: Arizona
ZIP Code: 85388-7678
Phone: (623) 776-5626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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