Individual
MRS. ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 349-9142
Mailing address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 349-9142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115235
TX
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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