Individual
SHAWNA MEADE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
14218 S 22ND ST, BELLEVUE, NE 68123-4724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
939
NE
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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