Individual
KATHERINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
65 S BROADWAY, YONKERS, NY 10701-4004
(914) 378-7000
Mailing address
107 SOUTH ST, BETHEL, CT 06801-2431
(203) 240-1128
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
355088
CT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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