MARY ELISE JOHNSON

HURRICANE, WV
NPI1538471206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1475)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: OH  OT.007494)
Enumeration Date2010-07-09
Last Update Date2013-04-25
Business Address
-- MARY ELISE JOHNSON O.T.R./L.
179 STATION PLACE WAY SUITE 100
HURRICANE, WV 25526-8747
Phone number: 304-760-6300
Mailing Address
-- MARY ELISE JOHNSON O.T.R./L.
PO BOX 450
SCOTT DEPOT, WV 25560-0450
Phone number: 304-760-6300