Individual
MRS. ANGELA GAUDIUSO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9 LACRUE AVE STE 103, GLEN MILLS, PA 19342-1062
(484) 840-1529
Mailing address
307 DONNELLY AVE, ASTON, PA 19014-2713
(610) 497-7987
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OCOO434OL
PA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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