Individual
MRS. KRISTINA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
(877) 688-2520
Mailing address
413 HAMILTON ST, LEWISVILLE, TX 75067-6726
(973) 945-4305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217722
TX
Other
Enumeration date
02/14/2023
Last updated
02/17/2023
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