Mary Diane Johnson Tmd Outlet

NPI #1649389388 in Lebanon, Missouri

Provider Information

NPI Number
1649389388
Entity Type
Organization
Organization Name
Mary Diane Johnson Tmd Outlet
Primary Specialty
Orthotic Fitter
Enumeration Date
Aug 29, 2006
Last Updated
Jun 16, 2008

Practice Location

Address
702 S MONROE
ZIP Code
65536-3570
Phone
(417) 588-3404

Authorized Official

Name
MRS. MARY D JOHNSON
Title
OWNER/ABC CERTIFIED FITTER (REM0094
Phone
(417) 588-3404

Specialties & Taxonomy Codes

Specialty
Orthotic Fitter

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