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Individual

TAYLOR JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 23116-3868
(804) 730-0009
Mailing address
9101 STONY POINT PKWY APT 1219, RICHMOND, VA 23235-2060

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131003077
VA

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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