Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 ASTON GARDENS CT, SUN CITY CENTER, FL 33573-3824
(813) 642-3424
Mailing address
4615 TROUT RIVER XING, ELLENTON, FL 34222-7287
(508) 713-5432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11493
FL
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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