Individual
MARISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
17615 85TH AVENUE CT E, PUYALLUP, WA 98375-1859
(253) 216-2589
Mailing address
3620 68TH AVE W, UNIVERSITY PLACE, WA 98466-5118
(253) 202-4246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60013976
WA
Other
Enumeration date
06/25/2009
Last updated
09/03/2020
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