Individual
EMILY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2531 COUGAR AVE, CODY, WY 82414-8444
(307) 527-7060
Mailing address
2531 COUGAR AVE, CODY, WY 82414-8444
(307) 527-7060
(307) 587-2497
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004629
IL
224Z00000X
Occupational Therapy Assistant
OTA-1337
WY
Other
Enumeration date
11/19/2016
Last updated
12/04/2023
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