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Individual

ALLISON CAMILLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1620 SE SUMMIT CT, PULLMAN, WA 99163-5540
(509) 332-5106
Mailing address
1620 SE SUMMIT CT, PULLMAN, WA 99163-5540
(509) 332-5106

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60808334
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356071
NBCOT
Enumeration date
02/04/2019
Last updated
02/04/2019
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