Individual
VICKIE JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 17TH ST SE, AUBURN, WA 98002-6822
(253) 876-7235
Mailing address
414 17TH ST SE, AUBURN, WA 98002-6822
(253) 876-7235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000279
WA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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