Individual
MAYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
650 E 77TH ST, BROOKLYN, NY 11236-3316
(718) 241-9211
Mailing address
1114 E 89TH ST, BROOKLYN, NY 11236-4763
(347) 755-9691
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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