Individual
ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4100 E FLETCHER AVE, TAMPA, FL 33613-4864
(813) 632-2357
Mailing address
4100 E FLETCHER AVE, TAMPA, FL 33613-4864
(813) 632-2357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12331
FL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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