Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 MCARTHUR RD., FAYETTEVILLE, NC 28311
(910) 868-2002
Mailing address
3213 DOVE HUNTER CIRCLE, FAYETTEVILLE, NC 28306
(830) 688-6021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13193
NC
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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