Individual
ALYSSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5208 RIDGE RD UNIT E1-4, CHARLOTTE, NC 28269-3439
(561) 560-7377
Mailing address
2801 NE 183RD ST APT 508, AVENTURA, FL 33160-2128
(860) 841-3350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20200
FL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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