Individual
WHITNEY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
3659 BOONE PARK AVE, JACKSONVILLE, FL 32205-9030
(501) 352-8402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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