Individual
ANTONIO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8626 HONEYCOMB CIR APT 368, CANTON, MI 48187-4135
(734) 709-0376
Mailing address
8626 HONEYCOMB CIR APT 368, CANTON, MI 48187-4135
(734) 709-0376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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