Individual
KARELY VERONICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1120 FALCON DR, KENNETT, MO 63857-3825
(573) 888-1150
Mailing address
PO BOX 42, SENATH, MO 63876-0042
(573) 344-5727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019041287
MO
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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