Individual
MS. KRISTEN MARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
8608 SPRUCE RUN CT, ELLICOTT CITY, MD 21043-6944
(410) 446-2048
Mailing address
8608 SPRUCE RUN CT, ELLICOTT CITY, MD 21043-6944
(410) 504-6870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06337
MD
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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