Individual
MISS MARKITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 AIRLITE RD, MARSHALL, TX 75670-5763
(903) 930-6608
Mailing address
320 AIRLITE RD, MARSHALL, TX 75670-5763
(903) 930-6608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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