Individual
MS. DENISE MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
110 WOODED HEIGHTS DR, CAMILLUS, NY 13031-1928
(315) 488-4335
Mailing address
110 WOODED HEIGHTS DR, CAMILLUS, NY 13031-1928
(315) 488-4335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004226-1
NY
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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