Individual
BRIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2180 N MAIN ST, BELTON, TX 76513-1919
(254) 773-6787
Mailing address
912 WYNDCREST DR, TEMPLE, TX 76502-2076
(540) 532-0688
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119550
TX
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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