Individual
SAMANTHA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2593 US HIGHWAY 2 E STE 1, KALISPELL, MT 59901-9507
(406) 890-2212
Mailing address
2593 US HIGHWAY 2 E STE 1, KALISPELL, MT 59901-9507
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8450
MT
Other
Enumeration date
06/15/2021
Last updated
01/02/2023
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