Individual
MRS. NANCY ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2300 SPRING GARDEN ST, GREENSBORO, NC 27403-2135
(336) 294-3338
(336) 294-6696
Mailing address
2620 BAYTREE DR, GREENSBORO, NC 27455-1154
(336) 545-3010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1862
NC
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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