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Individual

MRS. ASHLEY MARIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., OTR/L

Contact information

Practice address
2330 IMMOKALEE RD, SUITE 2, NAPLES, FL 34110-1414
(239) 596-0834
Mailing address
9823 COLONIAL WALK S, ESTERO, FL 33928-6309
(239) 250-3047

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14277
FL

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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