Individual
LINDSEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 SARNO RD STE 5, MELBOURNE, FL 32935-4909
(321) 255-7779
Mailing address
1014 GARLENDA AVE SW, PALM BAY, FL 32908-7609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13354
FL
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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