Individual
REBECCA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
211 NORTH MAIN ST, TRUMBAUERSVILLE, PA 18970-1897
(267) 371-9697
Mailing address
PO BOX 53, TRUMBAUERSVILLE, PA 18970-0053
(267) 371-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009871
PA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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