Individual provider · Type 1 NPI
Shane Johnson, OTR/L
Occupational Therapist · Surprise, AZ
Practice location
18480 W Port Royale Ln
Surprise, AZ 85388-7678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2743 (AZ) |
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 1548610041
Shane Johnson, OTR/L's National Provider Identifier is 1548610041, issued on Jun 15, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Surprise, AZ. The record was last updated on Jun 15, 2016.