Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5756 N KNOLL, SAN ANTONIO, TX 78240-2238
(210) 321-5200
Mailing address
1706 ARCHULETA DR NE, ALBUQUERQUE, NM 87112-4859
(806) 620-2499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115865
TX
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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