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Stacy Johnston, OTR/L

NPI 1669571261 · on the registry since 2006 · sole proprietor

Practice

Address
4415 36 1/2 Street West
St. Louis Park, MN 55416
Phone
(952) 927-9717
Fax
(952) 927-7687

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-02

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 Minnesota