Individual
CHRISTAL DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
Mailing address
409 BYBEE LOOP, WACO, KY 40385-8018
(859) 661-9957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
KY
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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