Individual
KATIE PARDUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 SPRINGWOOD DR, NORTH AUGUSTA, SC 29841-2179
(803) 279-1198
Mailing address
115 SPRINGWOOD DR, NORTH AUGUSTA, SC 29841-2179
(803) 279-1198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3056
SC
Other
Enumeration date
06/07/2009
Last updated
06/07/2009
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