Individual
JASMINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 WILLIAM ST, YORKVILLE, OH 43971-1140
(304) 218-3533
Mailing address
330 WILLIAM ST, YORKVILLE, OH 43971-1140
(304) 218-3533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2247
WV
224Z00000X
Occupational Therapy Assistant
OTA007428
OH
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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