Individual
ISABELLA KATHRYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BUFORD VILLAGE WAY, SUITE 229, BUFORD, GA 30518
(678) 482-6100
Mailing address
3046 REGAL PARK CT, DULUTH, GA 30096-3899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT008208
GA
Other
Enumeration date
12/09/2019
Last updated
10/04/2021
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