Individual
TRACI ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
141 LEDGE ST, NASHUA, NH 03060-3073
(603) 966-1000
Mailing address
3 EDITH AVE, NASHUA, NH 03064-1532
(603) 966-1191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0600
NH
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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