Individual
HEATHER ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
740 S. PLACENTIA AVE, SUITE 100, PLACENTIA, CA 92870
(714) 656-8318
(714) 656-8320
Mailing address
740 S. PLACENTIA AVE, SUITE 100, PLACENTIA, CA 92870
(714) 656-8318
(714) 656-8320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14476
CA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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