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Individual

MS. VIVIAN CHONITA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4343 ASHLAND CITY HWY, NASHVILLE, TN 37218-2401
(615) 726-8564
Mailing address
704 BERRY RD APT C11, NASHVILLE, TN 37204-2807

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1625
TN

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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