Individual
AMBER MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-8775
(859) 342-8701
Mailing address
2277 STEVENS BRANCH RD, CALIFORNIA, KY 41007-8522
(859) 992-9572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4808
KY
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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