Individual
GABRIELLE MORGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 SORENSON ST, NORTH LITTLE ROCK, AR 72118-3473
(501) 246-5191
Mailing address
PO BOX 575, MORRILTON, AR 72110-0575
(501) 208-7518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1956
AR
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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