Individual
RACINE E JOHNSON
Active
Individual
RACINE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT/OT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11610
NC
225X00000X
Occupational Therapist
6889
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302184
—
NC
01
—
Q399850281
MEDICARE
NC
Enumeration date
05/05/2008
Last updated
10/19/2021
Update your record
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