Individual
CAROL ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9322
(617) 626-9531
Mailing address
47 CORNWALL ST, 1, JAMAICA PLAIN, MA 02130-2640
(617) 983-1743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5084
MA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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