Individual
ANN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00742
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
409208
BLUE CHIP
RI
01
—
412296
EI BLUE CHIP
RI
01
—
6400144
EI UHP
RI
Enumeration date
07/26/2006
Last updated
07/08/2007
Update your record
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