Individual
JACQUELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD/R/L
Contact information
Practice address
809 S CHUGACH ST STE 1, PALMER, AK 99645-6665
(907) 746-4373
(907) 746-4376
Mailing address
809 S CHUGACH ST STE 1, PALMER, AK 99645-6665
(907) 746-4373
(907) 746-4376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2846
AK
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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