Individual
MRS. NICOLLE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLT
Contact information
Practice address
180 HOSPITAL CORPS BLVD., CAMP LEJEUNE, NC 28547
(910) 449-1129
Mailing address
180 HOSPITAL CORPS BLVD., CAMP LEJEUNE, NC 28547
(910) 449-1129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7166
NC
Other
Enumeration date
02/21/2017
Last updated
07/21/2022
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