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Kelsey Johnson

NPI Registration Record

Provider / OrganizationNPIDate Certified
KELSEY JOHNSON18115950932020-10-11
Entity TypeIndividual
Provider Name Kelsey Johnson COTA/L
Practice Office Address9109 LIBERTY RD
RANDALLSTOWN, MD US
Practice Office Telephone4106557373
Mailing Address287 WHITAKER RD
PASADENA, MD 211221148 US
HPT Codes
CodeLicense NoState
224Z00000X PRIMARYA02840 MD
193400000X MULTGroup Code
OPI Codes

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