MARK R JOHNSON

LARAMIE, WY
NPI1902074818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- MARK R JOHNSON OTR
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
Mailing Address
-- MARK R JOHNSON OTR
PO BOX 1544
FORT COLLINS, CO 80522-1544
Phone number:
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