Individual
HEATHER DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1499 6TH ST NW, WINTER HAVEN, FL 33881-2365
(863) 293-7778
Mailing address
1499 6TH ST NW, WINTER HAVEN, FL 33881-2365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15708
FL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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