Individual
ALYCIA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
641 CARRIAGE HILL RD, VIRGINIA BEACH, VA 23452-6546
(757) 263-2800
Mailing address
641 CARRIAGE HILL RD, VIRGINIA BEACH, VA 23452-6546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006854
VA
225X00000X
Occupational Therapist
17-02991
KS
225X00000X
Occupational Therapist
2014016768
MO
Other
Enumeration date
06/17/2014
Last updated
03/23/2023
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