Individual
MRS. KATHRYN HOPE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
Mailing address
5842 THOMPSON PL, TYLER, TX 75707-5002
(512) 966-2884
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213599
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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