Individual
CASEY JOHNSON
Active
Individual
CASEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6319
NC
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
Update your record
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