Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
311 BOULEVARD OF AMERICAS STE 204, LAKEWOOD, NJ 08701-4788
(718) 650-6230
Mailing address
311 HOOSICK STREET, TROY, NY 12180
(518) 888-0034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021392
NY
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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