Individual
MRS. BRENDA J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2221 E POINTER TRL, VAN BUREN, AR 72956-2336
(479) 651-4098
Mailing address
PO BOX 965, MULDROW, OK 74948-0965
(918) 427-5416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR390
AR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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