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Individual

DAVID L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
2241B N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3611
(954) 961-9335
Mailing address
3899 NW 7TH ST, STE 208, MIAMI, FL 33126-5551
(305) 644-4181

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9832
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E7865A
MEDICARE LEGACY
FL
Enumeration date
03/30/2007
Last updated
03/03/2008
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