Individual
CONCETTA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 SALMON DR NE, PALM BAY, FL 32907-1236
(321) 537-0119
Mailing address
181 SALMON DR NE, PALM BAY, FL 32907-1236
(321) 537-0119
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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