Individual
WHITNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
602 AUDRA LN APT D, DENTON, TX 76209-6499
(903) 908-3488
Mailing address
602 AUDRA LN APT D, DENTON, TX 76209-6499
(903) 908-3488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216063
TX
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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