Individual
CASEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
3404 WAKE FOREST RD, SUITE 303, RALEIGH, NC 27609-7340
(919) 872-3171
(919) 872-6739
Mailing address
3404 WAKE FOREST RD, SUITE 303, RALEIGH, NC 27609-7340
(919) 872-3171
(919) 872-6739
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
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