Individual
DANITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 OAK ST, MONTGOMERY, AL 36108-2829
(334) 264-8988
Mailing address
1031 OAK ST, MONTGOMERY, AL 36108-2829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0878
AL
225XP0200X
Pediatric Occupational Therapist
0878
AL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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