| Full Name | Stephanie Johnson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 242 Church St., Clay, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922194760 | NPI | - | NPPES |
| 3810003839 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 1243 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Johnson, 5171 Irish Heights Dr, Summersville, WV 26651-1921 Ph: (304) 872-9450 | Stephanie Johnson, 242 Church St., Clay, WV 25043 Ph: (304) 587-2713 |
News Archive
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› Verified 7 days ago
Diana Carter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: #1 Gump Street, Clay, WV 25043 Phone: 304-587-4266 Fax: 304-587-4181 |