Individual
MR. TIMOTHY JOE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3461 SAINT MARYS RD, WEST TERRE HAUTE, IN 47885-9683
(812) 917-5618
(812) 917-5618
Mailing address
3461 SAINT MARYS RD, WEST TERRE HAUTE, IN 47885-9683
(812) 917-5618
(812) 917-5618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003116A
IN
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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