Individual
JOHNNA NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6003 BAY ISLAND DR APT 1078, GARLAND, TX 75043-4704
(386) 295-5925
Mailing address
6003 BAY ISLAND DR APT 1078, GARLAND, TX 75043-4704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8675309
HEALTHCARE
—
Enumeration date
07/13/2021
Last updated
07/13/2021
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