Mary Diane Johnson Tmd Outlet
Mary Diane Johnson Tmd Outlet provides Orthotic Fitter services in Lebanon, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
702 S MonroeLebanon, MO 65536-3570 Not confirmed with CMS for 18 years — call before visiting
Phone: (417) 588-3404
Fax: (417) 588-3404
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotic Fitter (primary) | Taxonomy 225000000X |
|---|
Record details
| NPI number | 1649389388 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Johnson — Owner/Abc Certified Fitter (Rem0094 · (417) 588-3404 |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | June 16, 2008 |
| Mailing address | 702 S Monroe, Lebanon, MO 65536-3570 |