Individual
JENNIFER NICOLE JOHNSONBARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L, LMT
Contact information
Practice address
5620 SWEETWOOD WAY, MONTGOMERY, AL 36117-4576
(334) 395-5727
Mailing address
5620 SWEETWOOD WAY, MONTGOMERY, AL 36117-4576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2520
AL
225X00000X
Occupational Therapist
OC011708
PA
Other
Enumeration date
12/26/2010
Last updated
12/26/2010
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