Individual
MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 793-3900
Mailing address
100 PUSH ROOT CT, LANDER, WY 82520-3460
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1495
WY
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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