Individual
MELISSA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
333 MAPLE ST., SUTHERLAND, NE 69165
(308) 386-4393
(308) 386-4378
Mailing address
333 MAPLE ST., SUTHERLAND, NE 69165
(308) 386-4393
(308) 386-4378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1426
NE
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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