Individual
APRIL ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-5189
Mailing address
7001 FARLEY CT, FAIRVIEW, TN 37062-9121
(615) 983-0205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6111
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446547
—
TN
Enumeration date
01/24/2019
Last updated
01/24/2019
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