Individual
KINSEY MARIAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1315 2ND ST SW STE 202, ROANOKE, VA 24016-4935
(540) 982-2208
Mailing address
PO BOX 808, RIDGEWAY, VA 24148-0808
(276) 734-3965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009101
VA
Other
Enumeration date
07/13/2021
Last updated
08/22/2025
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