Individual
RACHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 FLORIDA A1A, INDIAN HARBOUR BEACH, FL 32937
(321) 773-8989
Mailing address
1150 WAR EAGLE BLVD, TITUSVILLE, FL 32796-4235
(321) 795-6224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11836
FL
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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