Individual
MCKENZIE PAIGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
123 2ND ST N,, WAHPETON, ND 58075
(701) 642-7047
Mailing address
120 GALCHUTT ST, GALCHUTT, ND 58075-8108
(701) 403-4042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/14/2023
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