Individual
CHRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N DALTON ST, BARTLETT, TX 76511-4332
(254) 527-3371
Mailing address
2801 WOODLAWN ST, TAYLOR, TX 76574-5042
(512) 439-9243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206652
TX
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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