Individual
TAYLOR MACKENZIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
(662) 338-5439
Mailing address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 312-8388
(662) 338-5439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4061
MS
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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