Individual
CALEB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13508 MISTY SHADOW LN, PEARLAND, TX 77584-3705
(989) 598-5695
Mailing address
3406 BUSINESS CENTER DR, PEARLAND, TX 77584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115789
TX
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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