Individual
MRS. AMBER N JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/ L
Contact information
Practice address
30528 LIPIZZAN TER, MOUNT DORA, FL 32757-7837
(850) 459-1180
Mailing address
30528 LIPIZZAN TER, MOUNT DORA, FL 32757-7837
(850) 459-1180
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12197
FL
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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