IndividualActive
Charlene Johnson, COTA/L
NPI 1649721044 · Occupational Therapy Assistant · Shelby, MT
Provider details
- NPI number
- 1649721044
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA3306 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
743 Hill Ave
Apt#1
Shelby, MT 59474-2717
Phone: (949) 292-2176
Approximate (ZIP-level) locationGet directions
Mailing address
743 Hill Ave
Shelby, MT 59474-2717
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.