Individual
MAUREEN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
124 E 23RD AVE, ANCHORAGE, AK 99503-2010
(907) 223-2567
Mailing address
PO BOX 242761, ANCHORAGE, AK 99524-2761
(907) 223-2567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
495
AK
225XP0200X
Pediatric Occupational Therapist
Primary
495
AK
Other
Enumeration date
02/23/2011
Last updated
02/20/2012
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