Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
298 WARFIELD BLVD STE C, CLARKSVILLE, TN 37043-1828
(931) 906-0440
Mailing address
641 FOXFIELD RD, HOPKINSVILLE, KY 42240-6111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2218
TN
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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