Individual
MRS. MICHELLE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 651-5200
Mailing address
2110 LOOMIS DR, AUGUSTA, KS 67010-1721
(316) 393-8843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00946
KS
Other
Enumeration date
04/23/2007
Last updated
05/13/2014
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