Individual
JADE ARIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MSOT
Contact information
Practice address
4105 FABER PLACE DR STE 420, NORTH CHARLESTON, SC 29405-8594
(843) 894-7374
(843) 278-8599
Mailing address
585 EZEKIEL BLVD UNIT 105, SPARTANBURG, SC 29303-6916
(229) 848-7195
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7918
SC
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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