Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BEACH RD, WOLCOTT, CT 06716-1902
(203) 879-8066
Mailing address
50 BEACH RD, WOLCOTT, CT 06716-1902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4335
CT
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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