Individual
CYNTHIA DALE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 TAYLOR ST, HUGHES SPRINGS, TX 75656-2600
(903) 639-2561
Mailing address
4858 BOB O LINK RD, GILMER, TX 75645-8336
(903) 841-8647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106869
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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