Individual
JA'KERA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 WILLIAMS RD, TALLAHASSEE, FL 32311-9107
(850) 294-9716
Mailing address
272 LOBLOLLY CIR, MIDWAY, FL 32343-4290
(850) 459-3508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19515
FL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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