Individual
FRASHIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217235502
—
TX
01
—
863T54
BCBS
TX
Enumeration date
07/12/2010
Last updated
12/15/2011
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