Amber Marie Johnson

Individual provider Active NPI Occupational Therapist · Duvall, WA

NPI 1699148486 · NPPES record last updated Nov 3, 2015

Key facts

NPI
1699148486
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT00003401 (WA)
Practice address
15510 1St Ave. NE
Duvall, WA 98019
Phone
(425) 844-4500
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT00003401WAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00003401 WA Yes

Addresses

Primary practice location

15510 1St Ave. NE
Duvall, WA 98019

Mailing address

14308 274TH PL NE
Duvall, WA 98019-8305
Phone (425) 221-0763

Other providers in Duvall, WA

All providers in Duvall, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.