Individual
JUANITA G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
165 NATCHEZ TRACE AVE, SUITE 200, BOWLING GREEN, KY 42103-7940
(270) 796-4698
Mailing address
4517 ARUM PARK, LEXINGTON, KY 40509-9041
(859) 626-2602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2133
KY
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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