Individual
MRS. EMILY BELOTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
640 HANNINGS LN, MARTIN, TN 38237-3358
(731) 587-3193
Mailing address
205 JONES ST, MARTIN, TN 38237-3507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2360
TN
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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