Individual
MS. KELLY RAYHILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5748 N 2300 LN, WEST SALEM, IL 62476-3068
(724) 833-6469
Mailing address
5748 N 2300 LN, WEST SALEM, IL 62476-3068
(724) 833-6469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004099A
IN
Other
Enumeration date
04/26/2007
Last updated
09/03/2014
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