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Individual

MR. JOHNNY MARVIN BROWN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
880 3RD AVE, CHULA VISTA, CA 91911-1305
(619) 662-4100
Mailing address
3465 NIBLICK DR, LA MESA, CA 91941-8054
(619) 306-4858

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3785
CA

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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