Individual
TALIA SHAKIRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT,OTRL
Contact information
Practice address
1718 BELMONT AVE, WINDSOR MILL, MD 21244-2552
(443) 200-5294
(443) 348-5970
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(516) 984-2011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
02/28/2018
Last updated
01/28/2025
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