Most Relevant Information
Provider Data
| NPI Number: | 1003360868 |
| Provider Name: | ANNEMARIE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0145 |
Most Important Dates
| Enumeration Date: | 08/10/2016 |
| Last Updated: | 08/10/2016 |
Provider Practice Location
10303 QUAAL RD
BLACK HAWK
SD
577189343
Practice Location Phone/Fax
| Phone: | 6057875798 |
| Fax: |
Provider Mailing Location
10303 QUAAL RD
BLACK HAWK
SD
577189343
Provider Mailing Phone/Fax
| Phone: | 6057875798 |
| Fax: |