Individual
MADISON H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W LONG AVE, DU BOIS, PA 15801-8799
(814) 371-3180
Mailing address
6284 KNOX DALE RD, BROOKVILLE, PA 15825-6708
(814) 715-2626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009889
PA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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