Individual
ANDRE CHRISTOPHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3939 S OTHELLO ST STE 101, SEATTLE, WA 98118-3505
(206) 987-7210
Mailing address
3939 S OTHELLO ST STE 101, SEATTLE, WA 98118-3505
(206) 987-7210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 11467
FL
225X00000X
Occupational Therapist
Primary
OT61590546
WA
Other
Enumeration date
06/02/2014
Last updated
10/06/2025
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