Individual
JUDITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2000 E EDGEWOOD DR, SUITE 114, LAKELAND, FL 33803-3653
(863) 577-1981
(863) 577-1983
Mailing address
PO BOX 1838, LAKELAND, FL 33802-1838
(863) 687-0931
(863) 687-4021
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT146
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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