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1972358208
KELLY ANN MARIE JOHNSON
GRESHAM, OR
NPI
1972358208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 445164)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
KELLY ANN MARIE JOHNSON MOT, OTR/L
330 W POWELL BLVD
GRESHAM, OR 97030-7051
Phone number: 916-968-6320
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Mailing Address
KELLY ANN MARIE JOHNSON MOT, OTR/L
4506 SE 33RD CT
GRESHAM, OR 97080-8250
Phone number: 916-968-6320
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