Individual
CONSTANCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Mailing address
2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0193
AZ
225XH1200X
Hand Occupational Therapist
Primary
0193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193
LICENSE #
AZ
05
—
095978
—
AZ
Enumeration date
06/01/2007
Last updated
03/26/2013
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