Individual
KIMBERLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16512 HONEYBUNCH LN SE, OLDTOWN, MD 21555-1325
(240) 727-5083
Mailing address
16512 HONEYBUNCH LN SE, OLDTOWN, MD 21555-1325
(240) 727-5083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2134
WV
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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