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Individual

SAMMI LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
13174 N PIEDMONT RD, PIEDMONT, SD 57769-4100
(605) 381-4780
Mailing address
13174 N PIEDMONT RD, PIEDMONT, SD 57769-4100

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0497
SD

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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