Individual
MS. JANICE JOHNSON-SIMCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
323 CONGRESS AVE, AUSTIN, TX 78701-3658
(512) 762-9845
Mailing address
1414 HALEY GRAY DR, PFLUGERVILLE, TX 78660-5730
(512) 670-3491
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
002898
TX
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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