Individual
JENNIFER C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1309 E WADE WATTS AVE, MCALESTER, OK 74501-5658
(402) 334-6014
Mailing address
224 ELM CREEK DR, SAINT AUGUSTINE, FL 32092-3546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15781
FL
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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