Individual
BRITTANY ANN JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1433 OLIVER AVE APT 17, SAN DIEGO, CA 92109-5392
(347) 229-3730
Mailing address
1433 OLIVER AVE APT 17, SAN DIEGO, CA 92109-5392
(347) 229-3730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17776
CA
Other
Enumeration date
08/18/2015
Last updated
12/07/2021
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