Individual
BROOKE LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1536 FORDING ISLAND RD STE 105, HILTON HEAD ISLAND, SC 29926-1144
(843) 837-2080
Mailing address
1259 SPRINGFIELD EGYPT RD, SPRINGFIELD, GA 31329-3639
(912) 665-1823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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