NPI 1164894770

Sharon a Johanson, MSOTRL

Practitioner Contractor Beverly, MA

Practice location

Address: 100 Cummings Ctr Suite 343g, Beverly, MA 01915-6115
Phone: (978) 712-0003
Fax: (866) 258-7586

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 11338 (MA)

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Registry record

NPI: 1164894770
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2015
Record last updated: 22 Oct 2015

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.