Individual
TAYLOR L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2753 N IDA LINDSEY DR APT 9, FAYETTEVILLE, AR 72703-4486
(831) 601-4612
Mailing address
2753 N IDA LINDSEY DR APT 9, FAYETTEVILLE, AR 72703-4486
(831) 601-4612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3079
AR
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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