NPI 1053349308
Jeanette Johnson, OTRL
Practice location
- Address
- 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102
- Phone
- (918) 286-1261
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1053349308
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jun 2006
- Record last updated
- 9 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.