NPI 1013016708

Mary Beth Johnson, OTRL

Practitioner Occupational Therapist St Louis Park, MN

Practice location

Address: 6500 Excelsior Blvd, St Louis Park, MN 55426-4702
Phone: (952) 993-6087
Mailing address: 6465 Wayzata Blvd STE 315, St Louis Park, MN 55426-1728

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 100788 (MN)

Other Occupational Therapist providers in Minnesota →

Registry record

NPI: 1013016708
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 8 Jul 2007

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.