Individual
NIKITA NICOLE BRATCHER-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1755 ELDRIDGE AVE, MEMPHIS, TN 38108-1115
(901) 278-3840
Mailing address
4580 GOLDEN WEST CV, SOUTHAVEN, MS 38671-5054
(901) 438-1829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3528
TN
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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