Individual
MRS. ELISA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 SUNSET AVE, WENATCHEE, WA 98801-2565
(360) 348-2878
Mailing address
10 S COVE AVE APT 5, WENATCHEE, WA 98801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002691
WA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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