Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7960 CENTER ST, MENTOR, OH 44060-7863
(440) 299-6120
Mailing address
328 CHESTNUT ST, GENEVA, OH 44041-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05255
OH
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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