Individual
CHERYL LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1031 COMMUNITY DR, JUPITER, FL 33458-8289
(561) 291-6755
Mailing address
2605 SW GALLERY CIR, PALM CITY, FL 34990-3147
(817) 456-5862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15474
FL
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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