Individual
BOOKER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(469) 524-1506
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00393
MD
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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