Individual
LAUREN MACKENZY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
100 COUNTY ROAD 488, LEXINGTON, AL 35648-3264
(256) 856-2247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5669
AL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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