Individual
MS. LAQUINTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
420 10TH ST SW, BIRMINGHAM, AL 35211
(205) 783-7900
Mailing address
952 ROCKINGHAM RD, BIRMINGHAM, AL 35235-2642
(205) 960-3655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2506
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506
OT LICENSE
AL
Enumeration date
01/18/2007
Last updated
03/27/2012
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