Individual
MRS. SHARON A JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
100 CUMMINGS CTR, SUITE 343G, BEVERLY, MA 01915-6115
(978) 712-0003
(866) 258-7586
Mailing address
100 CUMMINGS CTR, SUITE 343G, BEVERLY, MA 01915-6115
(978) 712-0003
(866) 258-7586
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11338
MA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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