Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4765 SPACEWALK WAY, COLORADO SPRINGS, CO 80916-2138
(325) 455-5992
Mailing address
4765 SPACEWALK WAY, COLORADO SPRINGS, CO 80916-2138
(325) 455-5992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000655
CO
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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