Individual
JAEL JANET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(704) 554-4818
Mailing address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 553-1670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7720
NC
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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