Individual
KELLY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 W WISSAHICKON AVE, FLOURTOWN, PA 19031-1898
(215) 248-7864
Mailing address
331 BRIGHTON RD, PLYMOUTH MTG, PA 19462
(609) 332-7485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR0036090
NJ
225X00000X
Occupational Therapist
Primary
OC008294
PA
Other
Enumeration date
01/18/2012
Last updated
09/20/2023
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