Individual
LILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 E ESPLANADE DR, 102, OXNARD, CA 93036-2110
(805) 485-7000
Mailing address
7054 QUITO CT, CAMARILLO, CA 93012-8849
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15613
CA
Other
Enumeration date
11/04/2015
Last updated
01/12/2022
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