Individual
AMANDA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 N PLEASANT ST, INDEPENDENCE SCHOOL DISTRICT, INDEPENDENCE, MO 64050-2655
(816) 521-2700
(816) 521-2999
Mailing address
218 N PLEASANT ST, INDEPENDENCE, MO 64050-2655
(816) 521-2700
(816) 521-2999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000164618
MO
Other
Enumeration date
10/02/2007
Last updated
02/19/2009
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