Trista Johnson, OTR

NPI #1770038556 in Lima, Ohio

Provider Information

NPI Number: 1770038556
Entity Type: Individual
Name: Trista Johnson, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Aug 22, 2016
Last Updated: Aug 22, 2016

Practice Location

Address: 2361 LAKEWOOD AVE
City: Lima
State: Ohio
ZIP Code: 45805-3175
Phone: (419) 604-9143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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