Individual
MS. MARY ANNE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2201 W 44TH ST, TUSD AJO SERVICE CENTER, TUSCON, AZ 85713
(520) 908-5083
Mailing address
2201 W 44TH ST, TUSD AJO SERVICE CENTER, TUSCON, AZ 85713
(520) 908-5083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634916
—
AZ
Enumeration date
09/25/2007
Last updated
09/25/2007
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