Individual
MISS TAMBRA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
TAMBRA.JOHNSON@PGCPS.ORG, 2300 BELLEVIEW AVE, CHEVERLY, MD 20785, CHEVERLY, MD 20785
(240) 535-2720
(301) 925-1985
Mailing address
2300 BELLEVIEW AVE, CHEVERLY, MD 20785-3004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05020
MD
Other
Enumeration date
12/05/2018
Last updated
07/01/2021
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