Individual
YOLANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1732 DAVIDSON AVE, BRONX, NY 10453-7804
(718) 299-6892
Mailing address
595 TRINITY AVE APT 15H, BRONX, NY 10455-3018
(718) 902-6444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009507
NY
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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