Individual
ERIN RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4712 67TH ST, LUBBOCK, TX 79414-5004
(806) 796-1774
Mailing address
4712 67TH ST, LUBBOCK, TX 79414-5004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113021
TX
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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