Individual
MS. RETTA PASCHAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
4901 DEERFOOT PKWY, STE 200, TRUSSVILLE, AL 35173-2697
(205) 960-9995
(205) 661-9841
Mailing address
PO BOX 723, TRUSSVILLE, AL 35173-0723
(205) 960-9995
(205) 661-9841
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0289
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001811
BLUE CROSS BLUE SHEILD
AL
01
—
51001814
BLUE CROSS BLUE SHIELD
AL
01
—
9423173
PRIVATE HEALTHCARE SYSTE
AL
Enumeration date
07/13/2006
Last updated
07/09/2007
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