Stacey Johnson, OT

NPI #1558515569 in West Memphis, Arkansas

Provider Information

NPI Number: 1558515569
Entity Type: Individual
Name: Stacey Johnson, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 5, 2008
Last Updated: Nov 5, 2008

Practice Location

Address: 413 W TYLER AVE
City: West Memphis
State: Arkansas
ZIP Code: 72301-4149
Phone: (870) 733-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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