NPI 1649389388

Mary Diane Johnson Tmd Outlet

Organisation Orthotic Fitter Lebanon, MO

Practice location

Address: 702 S Monroe, Lebanon, MO 65536-3570
Phone: (417) 588-3404
Fax: (417) 588-3404

Authorised official

Name: Mary D Johnson
Title: Owner/Abc Certified Fitter (rem0094
Phone: (417) 588-3404

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in Missouri →

Registry record

NPI: 1649389388
Entity type: Organization
NPI issued: 29 Aug 2006
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.