Individual
GESSICA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0461
(206) 625-7278
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31007060A
IN
225X00000X
Occupational Therapist
OT.OT.61351233
WA
225X00000X
Occupational Therapist
OT20017
CA
225X00000X
Occupational Therapist
Primary
OT61351233
WA
Other
Enumeration date
09/29/2022
Last updated
07/11/2025
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