Individual
MEGHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N CREST PL, LAKEWOOD, NJ 08701-2967
(215) 525-4970
Mailing address
227 BORO RD, PRIMOS, PA 19018-2111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019368580006
—
PA
Enumeration date
03/19/2008
Last updated
04/17/2008
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