Individual
CATHERINE IRELAND JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1229 TOTEROS DR, WAXHAW, NC 28173-6950
(704) 649-4509
Mailing address
4223 PEPPERIDGE DR, CHARLOTTE, NC 28226-7225
(502) 802-8694
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12501
NC
Other
Enumeration date
06/04/2019
Last updated
09/16/2021
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