Individual
MRS. MEGAN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4112 KEENLAND BLVD, EVANSVILLE, IN 47715-8176
(812) 589-3202
Mailing address
4112 KEENLAND BLVD, EVANSVILLE, IN 47715-1952
(812) 589-3202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
320015418
IN
Other
Enumeration date
03/03/2010
Last updated
06/17/2014
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