Individual
CRYSTAL TISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11140 ROCKVILLE PIKE STE 303, ROCKVILLE, MD 20852-3148
(301) 231-7138
Mailing address
12105 BENJAMIN ST, BELTSVILLE, MD 20705-1156
(301) 452-6218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08903
MD
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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