Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1987 PIECK DR, UNIT B, COVINGTON, KY 41011-2692
(260) 417-5042
Mailing address
1987 PIECK DR, UNIT B, COVINGTON, KY 41011-2692
(260) 417-5042
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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