| NPI | 1104988369 |
|---|---|
| Former Name | SARAH TEAGUE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: CO 2051) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: KS 1002499) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-10-28 |