Individual
KELSEY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 E COTTON GIN LOOP, STE 140, PHOENIX, AZ 85040-4823
(602) 567-9881
Mailing address
4720 E COTTON GIN LOOP, STE 140, PHOENIX, AZ 85040-4823
(602) 567-9881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5113
AZ
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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