Individual provider · Type 1 NPI

Kathy Marie Johnson, OTR

Occupational Therapist · Port Jefferson Station, NY

NPI number 1124338744 Active

Practice location

5225 Nesconset Hwy, 30
Port Jefferson Station, NY 11776-2053

Call (631) 473-4284 Map

Mailing address

18 Sills Ct
Centerport, NY 11721-1634

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X001190 (NY)

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 1124338744

Kathy Marie Johnson, OTR's National Provider Identifier is 1124338744, issued on Oct 15, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 15, 2010.