Individual
MELANIE KATHRYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1858
ND
Other
Enumeration date
04/15/2021
Last updated
07/19/2021
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