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Individual

SANDRA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
130 FAIRFIELD ESTATES DR, RAPHINE, VA 24472-2723
(540) 241-2407
Mailing address
130 FAIRFIELD ESTATES DR, RAPHINE, VA 24472-2723

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003225
VA

Other

Enumeration date
09/28/2009
Last updated
11/17/2020
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