Individual
MRS. KELLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1301 PIERCE AVE, TORONTO, OH 43964-1015
(330) 360-3679
Mailing address
1301 PIERCE AVE, TORONTO, OH 43964-1015
(330) 360-3679
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 009102
OH
Other
Enumeration date
05/01/2017
Last updated
01/02/2019
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