Individual
DELATRON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1297 MYCROFT DR, COCOA, FL 32926-1826
(321) 536-4421
Mailing address
1297 MYCROFT DR, COCOA, FL 32926-1826
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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