Individual
CONVALECIA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8222 N BELT LINE RD STE 175, IRVING, TX 75063-2276
(972) 241-9334
Mailing address
2904 S COLLINS ST APT 131, ARLINGTON, TX 76014-2278
(214) 325-9123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125007
TX
Other
Enumeration date
09/17/2024
Last updated
01/06/2025
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