Individual
NICOLAS HUNTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
3296
NC
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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