Individual
DANYELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR, MOT
Contact information
Practice address
938 MARTEAU ROAD, BROUSSARD, LA 70518
(337) 459-6591
Mailing address
938 MARTEAU ROAD, BROUSSARD, LA 70518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
306839
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/08/2021
Last updated
02/08/2021
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