Individual
MRS. STEPHANIE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 747-9032
Mailing address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 747-9032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
222247
OR
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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