Individual
SHELLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 CORDATA PKWY, SUITE LL4, BELLINGHAM, WA 98226-7263
(360) 729-1253
Mailing address
1115 SE 164TH AVE, VANCOUVER, WA 98683-9324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60288431
WA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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