Individual
MCKENNA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17615 85TH AVENUE CT E, PUYALLUP, WA 98375-1902
(253) 216-2589
Mailing address
25402 139TH AVE SE, KENT, WA 98042-6608
(253) 632-6440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61264446
WA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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