Individual
KORI ALISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
680 KINGSBOROUGH SQ STE B, CHESAPEAKE, VA 23320-4988
(757) 547-0434
(757) 547-0434
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009269
VA
Other
Enumeration date
05/24/2021
Last updated
12/07/2021
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