Provider Demographics
NPI:1912567942
Name:JOHNSON, ALLISON (OT, DOT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:OT, DOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N DOBSON RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-5276
Mailing Address - Country:US
Mailing Address - Phone:480-565-2276
Mailing Address - Fax:480-383-6789
Practice Address - Street 1:2195 W CHANDLER BLVD STE 180
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6580
Practice Address - Country:US
Practice Address - Phone:480-963-9339
Practice Address - Fax:480-963-4098
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist