SearchArizonaOccupational Therapist

Shane Johnson, OTR/L

NPI 1548610041 · on the registry since 2016 · sole proprietor

Practice

Address
18480 W Port Royale Ln
Surprise, AZ 85388
Phone
(623) 776-5626

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona