Individual provider · Type 1 NPI

Mary Beth Johnson, OTR/L

Occupational Therapist · St. Louis Park, MN

NPI number 1013016708 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Mailing address

6465 Wayzata Blvd, Ste 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X100788 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013016708

Mary Beth Johnson, OTR/L's National Provider Identifier is 1013016708, issued on Sep 21, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 8, 2007.