NPI 1265157572

Dorothy Moten Johnson

Practitioner Prosthetist San Tan Valley, AZ

Practice location

Address: 2303 E Omega Dr, San Tan Valley, AZ 85143-4622
Phone: (480) 238-0314

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1265157572
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2022
Record last updated: 10 Oct 2022

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.