Individual
AMANDA WHITNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 525-7622
Mailing address
834 HERMS HILL RD, WHEELERSBURG, OH 45694-9341
(740) 574-8062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1389
WV
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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