Individual
MRS. CHARQUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9200 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-4458
(410) 780-2168
Mailing address
3909 FLOWERTON RD, BALTIMORE, MD 21229-1920
(443) 799-7412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02222
MD
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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