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Individual

ALYSSA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3775 ROSS CLARK CIR, DOTHAN, AL 36303-2251
(334) 316-0191
Mailing address
3775 ROSS CLARK CIR, DOTHAN, AL 36303-2251
(334) 316-0191

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4164
AL

Other

Enumeration date
01/02/2024
Last updated
01/02/2024
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