LORI SUE JOHNSON

FLAGSTAFF, AZ
NPI1205010410
Former NameLORI SUE DAVIDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  2514)
Enumeration Date2007-12-24
Last Update Date2007-12-24
Business Address
LORI SUE JOHNSON COTA/L
3150 N WINDING BROOK RD
FLAGSTAFF, AZ 86001-0972
Phone number: 928-774-7106
Mailing Address
LORI SUE JOHNSON COTA/L
1718 N FORT VALLEY RD APT. 126
FLAGSTAFF, AZ 86001-1290
Phone number: 928-380-0289