Individual
LAURA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230168721
—
AR
05
—
30005150610001
—
KS
Enumeration date
07/18/2018
Last updated
05/09/2025
Update your record
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