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Individual

MRS. AMY ELAINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2519 S LAKELINE BLVD, CEDAR PARK, TX 78613-2964
(512) 331-6200
Mailing address
13337 BRIGHT SKY OVERLOOK, AUSTIN, TX 78732-2393
(512) 852-8168

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
106298
TX

Other

Enumeration date
10/27/2012
Last updated
10/27/2012
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