Individual
MS. KELLY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
22123 FIGUEROA ST UNIT 113, CARSON, CA 90745-4464
(818) 271-9030
Mailing address
22123 FIGUEROA ST UNIT 113, CARSON, CA 90745-4464
(818) 271-9030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20473
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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