Individual
KATHRYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5828 ORCHID JUNGLE LN, NORTH LAS VEGAS, NV 89031-1173
(702) 810-7251
Mailing address
5828 ORCHID JUNGLE LN, NORTH LAS VEGAS, NV 89031-1173
(702) 810-7251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12-1159
NV
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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