Individual
MR. JAMES E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5516 NW 27TH TER, GAINESVILLE, FL 32653-2040
(352) 871-6783
Mailing address
5516 NW 27TH TER, GAINESVILLE, FL 32653-2040
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
OT9490
FL
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
OT9490
FL
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
OT9490
FL
225X00000X
Occupational Therapist
Primary
OT9490
FL
225XE0001X
Environmental Modification Occupational Therapist
OT9490
FL
225XG0600X
Gerontology Occupational Therapist
OT9490
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT9490
FL
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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