Individual
MISS BETH A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
424 LAWRENCE ST, IRONTON, OH 45638-1474
(740) 532-0770
Mailing address
2951 HARVEY RD, HUNTINGTON, WV 25704
(304) 633-8426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3349
KY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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