Individual
ANNA NICOLOSI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 767-8182
(225) 767-8757
Mailing address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 767-8182
(225) 767-8757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11176
LA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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