Individual
MICAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 26TH AVE NW, NORMAN, OK 73069-6367
(405) 308-9120
Mailing address
705 26TH AVE NW, NORMAN, OK 73069-6367
(405) 308-9120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1096
OK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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