Individual
HEATHER S PRISBREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5156393-4201, 62663
UT
225XM0800X
Mental Health Occupational Therapist
5156393-4201
UT
225XP0200X
Pediatric Occupational Therapist
5156393-4201
UT
Other
Enumeration date
07/06/2006
Last updated
10/15/2023
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