NPI 1174712996

Mary Miller Johnson, OTRL

Practitioner Contractor Alex City, AL

Practice location

Address: 1784 Elkahatchee Rd, Alex City, AL 35010-4800
Phone: (256) 329-0868
Fax: (256) 329-1101

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 0299 (AL)

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Registry record

NPI: 1174712996
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2007
Record last updated: 17 Oct 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.