Individual
SALLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 N LACEY ST, SPOKANE, WA 99217-5603
(971) 235-9860
Mailing address
4704 N LACEY ST, SPOKANE, WA 99217-5603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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