Individual
NAOMI AYETIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1212 GRAND PLAZA DR, HOUSTON, TX 77067-4165
(832) 229-7018
Mailing address
1212 GRAND PLAZA DR, HOUSTON, TX 77067-4165
(832) 229-7018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24636339
TEXAS DRIVERS LIC
TX
Enumeration date
03/28/2011
Last updated
03/28/2011
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