Individual
MS. DENISE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1030 LOFTIS BLVD STE 103, NEWPORT NEWS, VA 23606-2999
(757) 720-0099
Mailing address
P.O. BOX #3, WEST POINT, VA 23181
(407) 284-8044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119009648
VA
Other
Enumeration date
08/02/2022
Last updated
09/29/2025
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