Individual
MARIE JOHNSON-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/27/2016
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