Individual
CEIANNA NICHOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2010 GARFIELD AVE STE 2, PARKERSBURG, WV 26101-2529
(304) 917-3649
(304) 917-3651
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
C2333
WV
224Z00000X
Occupational Therapy Assistant
OTA007597
OH
225X00000X
Occupational Therapist
Primary
2421
WV
225X00000X
Occupational Therapist
OT012725
OH
Other
Enumeration date
10/31/2023
Last updated
11/17/2023
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