Individual
CARLOTTA ELAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
301 NORTH 8TH STREET, SINCLAIR, WY 82334
(307) 258-3655
Mailing address
301 NORTH 8TH STREET, SINCLAIR, WY 82334
(307) 258-3655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-760
WY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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