Individual
MRS. CATHERYN YVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4703 NW 53RD AVE, SUITE B-4, GAINESVILLE, FL 32653-3415
(352) 375-8806
(352) 375-9984
Mailing address
4413 NW 36TH TER, GAINESVILLE, FL 32605-5420
(352) 336-6872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888141300
—
FL
Enumeration date
04/26/2007
Last updated
03/12/2009
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