Individual
MRS. LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
1420 BRITTANY LN NE, F303, LACEY, WA 98516-5777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60498208
WA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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