Individual
DR. CARLENE E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
6480 PEYTONSVILLE ARNO RD, COLLEGE GROVE, TN 37046
(615) 944-5649
Mailing address
6480 PEYTONSVILLE ARNO RD, COLLEGE GROVE, TN 37046
(615) 944-5649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000001542
TN
Other
Enumeration date
10/13/2020
Last updated
04/02/2021
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