Individual
MRS. CAROL LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2800 WELLFORD ST, SUITE 202, FREDERICKSBURG, VA 22401-3176
(540) 373-6320
Mailing address
11913 SAWHILL BLVD, SPOTSYLVANIA, VA 22553-3647
(540) 785-2484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004250
VA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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