Individual
MACIE TAYLOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
207 PLAZA BLVD BLDG BRIDGES, CABOT, AR 72023-3749
(501) 794-7871
Mailing address
6015 LOMBARD RD, ALEXANDER, AR 72002-9223
(501) 794-7871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3410
AR
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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