Individual
MISS CHERIE D. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 E 81ST ST, 4824, TULSA, OK 74137-4250
(918) 260-8476
Mailing address
4630 E 68TH ST, TULSA, OK 74136-4922
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
CERTIFICATION
OK
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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