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Individual

JUDY ALICE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR

Contact information

Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
Mailing address
1820 HAMILTON DR, CARROLLTON, TX 75010-6318
(469) 579-2086

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
06/29/2021
Last updated
03/14/2022
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