Individual
MARY ELISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
179 STATION PLACE WAY, SUITE 100, HURRICANE, WV 25526-8747
(304) 760-6300
(304) 201-5123
Mailing address
PO BOX 450, SCOTT DEPOT, WV 25560-0450
(304) 760-6300
(304) 201-5123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1475
WV
225X00000X
Occupational Therapist
OT.007494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018156
—
WV
Enumeration date
07/09/2010
Last updated
04/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us