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Individual

MS. EBONIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9313 SWIMMING DR, HARRISBURG, NC 28075-6721
(347) 331-6494
Mailing address
9313 SWIMMING DR, HARRISBURG, NC 28075-6721
(347) 331-6494

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC010691
PA
225XP0200X
Pediatric Occupational Therapist
Primary
9213
NC

Other

Enumeration date
07/11/2012
Last updated
04/15/2026
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