Individual
RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 665-4955
Mailing address
205 MILLSTONE RD APT X, FLORENCE, SC 29505-3951
(843) 413-0281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2581
SC
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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