Individual
MRS. AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2317 N HILL FIELD RD, #103, LAYTON, UT 84041-4781
(801) 597-1340
Mailing address
1701 S 2650 W, WEST HAVEN, UT 84401-3250
(801) 597-1340
(801) 731-0910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
50740384201
UT
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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