Individual
MEAGHAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4439
Mailing address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9103
NC
Other
Enumeration date
04/16/2014
Last updated
12/12/2014
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