Individual
CAROL MARSH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 CROWN ST, APT # 2F, BROOKLYN, NY 11213-5864
(516) 607-3061
Mailing address
795 CROWN ST, APT # 2F, BROOKLYN, NY 11213-5864
(516) 607-3061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0036541
NY
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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