DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH L JOHNSON, PTA

Active Sole Proprietor

MR. KENNETH L JOHNSON, PTA is a Occupational Therapist healthcare provider located in STONEHAM, Massachusetts. NPI 1154410371 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · STONEHAM, MA

Registration Details

NPI Number
1154410371
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.811049985273 yrs)
Last Updated
Jul 8, 2007
License
7662 (MA)
Sole Proprietor
Yes

Practice Information

Address
200 MAIN STREET
SUITE 111
STONEHAM, MA, 021801619
Browse MA providers · Browse ZIP 02180
Phone
6176668800
Fax
6176664488
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in STONEHAM, MA

Name Credential NPI
MS. JANINE MODUGNO 1609111061
MR. LYLE EDWARD MORGAN PTA 1316494230
LAUREN DURAN PTA 1316658081
COLLEEN DONOVAN 1609588136
STEVEN SMITH PTA 1689386120
MRS. SARAH MARIE EARLY PTA 1356053888
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.