Individual
KERIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT R/L
Contact information
Practice address
601 N 13 TH ST, MONETT, MO 65708-3516
(417) 354-0223
Mailing address
601 N 13 TH ST, MONETT, MO 65708-3516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011024196
MO
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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