Individual
MRS. MOLLY B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
609 E ST SE, LINTON, IN 47441-8503
(812) 699-0664
Mailing address
609 E ST SE, LINTON, IN 47441-8503
(812) 699-0664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
115747
TX
225X00000X
Occupational Therapist
Primary
31005933A
IN
225X00000X
Occupational Therapist
316014
OR
Other
Enumeration date
11/07/2013
Last updated
03/17/2018
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