Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1608 WALNUT ST FL 2, PHILADELPHIA, PA 19103-5457
(267) 319-7588
Mailing address
236 S 45TH ST # 1, PHILADELPHIA, PA 19104-2949
(952) 250-8343
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC020243
PA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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