Individual
ANNA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787-6042
(305) 747-3171
Mailing address
1815 LAKE TERRACE AVE, SAINT CLOUD, FL 34772-7458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16210
FL
Other
Enumeration date
01/29/2018
Last updated
11/17/2018
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