Individual
CYNTHIA DEBRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
400 E HOWRY AVE, DELAND, FL 32724-5400
(386) 822-6900
(352) 382-7781
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9436
FL
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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