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Individual

PAMELA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
8280 YMCA PLAZA DR, STE. 3-A, BATON ROUGE, LA 70810-0927
(225) 757-0164
(225) 767-8757
Mailing address
8280 YMCA PLAZA DR, STE. 3-A, BATON ROUGE, LA 70810-0927
(225) 757-0164
(225) 767-8757

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10278
LA

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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