Individual
ANTONIO CHADWICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 EL PRADO AVE, LEMON GROVE, CA 91945-3624
(213) 264-1635
Mailing address
2185 EL PRADO AVE, LEMON GROVE, CA 91945-3624
(213) 264-1635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
28387
CA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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