Individual
MS. DIANE NATASHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 LAW ST, VALLEY STREAM, NY 11580-1018
(516) 343-3917
Mailing address
2 LAW STREET, VALLEY STREAM, NY 11580-1018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005193
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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