Individual
VICTORIA LUCERO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
(602) 421-7718
Mailing address
3004 E HARRISON ST, GILBERT, AZ 85295-9075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047075
AZ
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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