Individual
MRS. BETTIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1403 SHIRLEY LN, PERKASIE, PA 18944-2868
(888) 558-0300
(215) 453-2076
Mailing address
490 PLYMOUTH RD, GLENSIDE, PA 19038-2829
(215) 884-6875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010761
PA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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