Individual
JULIE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
133 LAURELBROOKE DR, BROOKVILLE, PA 15825-2653
(814) 849-0497
Mailing address
17360 ROUTE 36, BROOKVILLE, PA 15825-4658
(814) 849-4420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005908
PA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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