Individual
MRS. AMY JOHNSON HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
139 MAPLE ROW BLVD, SUITE 202, HENDERSONVILLE, TN 37075-3853
(615) 826-7113
(615) 826-7139
Mailing address
177 EAST HARBOR, HENDERSONVILLE, TN 37075-3555
(615) 826-9857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0000000915
TN
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000000915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514573
—
TN
01
—
4249773
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/28/2009
Last updated
11/23/2011
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