Individual
MS. AMY DIANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1651 GRANDEFLORA AVE, CLERMONT, FL 34711-6271
(407) 592-6547
Mailing address
1651 GRANDEFLORA AVE, CLERMONT, FL 34711-6271
(407) 592-6547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12900
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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