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Individual

MS. ELEONORE MAE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7950 MARTIN LOOP, OCCUPATIONAL THERAPY CLINIC, COLUMBUS, GA 31905-5648
(706) 544-1389
(706) 544-4059
Mailing address
7950 MARTIN LOOP, OCCUPATIONAL THERAPY CLINIC, COLUMBUS, GA 31905-5648
(706) 544-1389
(706) 544-4059

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008971
PA

Other

Enumeration date
10/24/2005
Last updated
09/13/2012
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