Individual
GINA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 645-6686
Mailing address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 645-6686
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0000621
DE
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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