Individual
ELIZABETH PREWITT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1022 PRESIDENTIAL CORRIDOR, CALDWELL, TX 77836-4611
(979) 567-0920
Mailing address
2800 LONGMIRE DR APT 56, COLLEGE STATION, TX 77845-5839
(281) 743-5096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121643
TX
Other
Enumeration date
03/24/2021
Last updated
10/31/2022
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