Individual
MARCIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5277
Mailing address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1288
ND
Other
Enumeration date
08/13/2008
Last updated
02/21/2014
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