Mikaila Ann Johnson, OTR | |
800 N Medcalf St, Montesano, WA 98563 | |
(360) 249-2273 | |
(610) 925-7895 |
Full Name | Mikaila Ann Johnson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 800 N Medcalf St, Montesano, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457940769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT.OT.61129636 (Washington) | Primary |
Provider Name | Enjati Johnson Occupational And Physical Therapy Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689274797 PECOS PAC ID: 4284047002 Enrollment ID: O20210114003003 |
Mailing Address | Practice Location Address |
---|---|
Mikaila Ann Johnson, OTR Po Box 81, Humptulips, WA 98552-0081 Ph: (360) 593-2269 | Mikaila Ann Johnson, OTR 800 N Medcalf St, Montesano, WA 98563 Ph: (360) 249-2273 |
Mrs. Jeri Lyn Reinertsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sylvia St, Montesano, WA 98563 Phone: 360-249-3202 Fax: 360-249-3202 | |
Ms. Kathleen Marie Schaeffer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1216 Fair View Lane East, Unit 1, Montesano, WA 98563 Phone: 503-871-0225 | |
Amanda Deangelo, DROT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medcalf Street, Montesano, WA 98563 Phone: 360-249-2273 | |
Mr. Scot M Reyes, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Medcalf Ln, Montesano, WA 98563 Phone: 360-249-2273 |