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Organization

CHARLES JOHNSON

Active
Other names
Charlie Johnson, OTR/L
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES JOHNSON OTR/L (OCCUPATIONAL THERAPIST)
(404) 326-0013
Entity
Organization

Contact information

Practice address
234 E PARKWOOD RD, DECATUR, GA 30030-2813
(404) 378-5734
Mailing address
3397 BRETON CIR NE, ATLANTA, GA 30319-2403

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/31/2014
Last updated
10/31/2014
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