Mark A Johnson, COTA/L
NPI #1962747014 in Junction City, Oregon
Provider Information
- NPI Number
- 1962747014
- Entity Type
- Individual
- Name
- Mark A Johnson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Nov 30, 2012
- Last Updated
- May 29, 2015
Practice Location
- Address
- 530 BIRCH ST
- City
- Junction City
- State
- Oregon
- ZIP Code
- 97448-1524
- Phone
- (541) 998-2395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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