Individual
MRS. LISA RENEE JOHNSON-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2408 HUMMINGBIRD LN, SUMMERVILLE, SC 29483-9760
(843) 285-8005
Mailing address
2408 HUMMINGBIRD LN, SUMMERVILLE, SC 29483-9760
(843) 285-8005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4506
SC
225X00000X
Occupational Therapist
OT00003573
WA
Other
Enumeration date
01/14/2013
Last updated
07/14/2015
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