Individual
JULIE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3806 CLAYTON RD, CONCORD, CA 94521-2516
(925) 689-2266
Mailing address
2555 FLOSDEN RD SPC 66, AMERICAN CANYON, CA 94503-3922
(707) 980-7321
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
2646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91279503F4
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
CA
Enumeration date
03/26/2022
Last updated
03/26/2022
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