Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 LILLIAN PL, RED BANK, NJ 07701-6203
(732) 546-6733
Mailing address
61 LILLIAN PL, RED BANK, NJ 07701-6203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119466
TX
Other
Enumeration date
12/17/2018
Last updated
02/08/2022
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