Individual
ERIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
20329 N 59TH AVE STE A2, GLENDALE, AZ 85308-6854
(623) 594-0294
Mailing address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01765
RI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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