Individual provider · Type 1 NPI

Kelly Ann Marie Johnson, MOT, OTR/L

Occupational Therapist · Gresham, OR

NPI number 1972358208 Active

Practice location

330 W Powell Blvd
Gresham, OR 97030-7051

Mailing address

4506 SE 33rd Ct
Gresham, OR 97080-8250

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X445164 (OR)

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 1972358208

Kelly Ann Marie Johnson, MOT, OTR/L's National Provider Identifier is 1972358208, issued on Apr 19, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Gresham, OR. The record was last updated on Apr 19, 2024.