Individual
SANTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6200 HOLLYFERN LN, ATLANTA, GA 30349-9503
(404) 578-7809
Mailing address
6200 HOLLYFERN LN, ATLANTA, GA 30349-9503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001323
GA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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