Individual
EUGENE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5805 TRENT AVE, LAS VEGAS, NV 89107-3717
(702) 328-8511
Mailing address
5805 TRENT AVE, LAS VEGAS, NV 89107-3717
(702) 328-8511
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
05/15/2013
Last updated
08/01/2017
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