Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
415 CATLETT RD, SEVIERVILLE, TN 37862-5901
(888) 531-2204
Mailing address
293 MOUNT DR APT 604, SEVIERVILLE, TN 37876-3130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5755
TN
225X00000X
Occupational Therapist
Z11921
LA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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