Individual
SHEILA DENISE JOHNSON-TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 NORTH ST, COLUMBUS, TX 78934-1537
(979) 732-2347
Mailing address
1425 MONTEZUMA ST APT 227, COLUMBUS, TX 78934-2149
(843) 501-4692
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214922
TX
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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