Individual
MS. JOANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5674 BAYWATER DR, TAMPA, FL 33615-3510
(813) 215-6275
(866) 636-0443
Mailing address
5674 BAYWATER DR, TAMPA, FL 33615-3510
(813) 210-1233
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
04/30/2024
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