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Individual

JAN JOHNSON-ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
10600 YORK RD, COCKEYSVILLE, MD 21030-2351
(972) 795-0008
Mailing address
1250 RIVERCREST DR, MESQUITE, TX 75181-1076
(972) 795-0008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103717
TX

Other

Enumeration date
01/23/2016
Last updated
01/23/2016
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