Individual
KANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5610 DARTMOUTH ST, LUBBOCK, TX 79416-1335
(806) 787-4087
Mailing address
1901 MEDI PARK DR, SUITE 65, AMARILLO, TX 79106-2110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112539
TX
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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