Individual
PEGGY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
CUSD# 24 HWY 191, CHINLE, AZ 85901
(928) 674-9210
Mailing address
10805 SW 52ND TER, GAINESVILLE, FL 32608-6330
(352) 871-2113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0002474
AZ
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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