Individual
MYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 E RIVER DR STE 140, DAVENPORT, IA 52803-5760
(563) 279-4153
Mailing address
1225 E RIVER DR STE 140, DAVENPORT, IA 52803-5760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114410
IA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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