Individual
DORA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3355 CHERRY RIDGE ST, SAN ANTONIO, TX 78230-4815
(210) 366-1575
(210) 738-8025
Mailing address
12142 APRICOT DR, SAN ANTONIO, TX 78247-4352
(210) 495-3782
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110612
TX
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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