Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(850) 556-0150
Mailing address
11954 GREENGATE DR, HUDSON, FL 34669-5026
(850) 556-0150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19225
FL
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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