Individual
KATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
9650 N 39TH AVE, PHOENIX, AZ 85051-3324
(602) 347-2100
Mailing address
3914 W ROSE LN, PHOENIX, AZ 85019-1626
(231) 881-5344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008286
AZ
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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