Individual
JULIA CAROLINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 544-9021
Mailing address
113 ZANTE CURRANT RD, DURHAM, NC 27703-6274
(919) 264-5560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10128
NC
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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