Individual
MRS. ERICA VICTORIA JOHNSON-HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9540 TOWNE CENTRE DR, SUITE 150, SAN DIEGO, CA 92121-1988
(858) 952-1654
Mailing address
6424 N RIDGE BLVD APT 2H, CHICAGO, IL 60626-4832
(510) 277-2145
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.010629
IL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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