Individual
MARKIA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 GREEN LN, PHILADELPHIA, PA 19128-3307
(215) 487-0740
Mailing address
569 WIGARD AVE, PHILADELPHIA, PA 19128-3131
(267) 417-6330
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC016139
PA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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