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Individual

MISS TAMEKA L JOHNSON

Active
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Individual

MISS TAMEKA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00589200
NJ
225XP0200X
Pediatric Occupational Therapist
OC011107
PA
225XP0200X
Pediatric Occupational Therapist
U1-0001188
DE

Other

Enumeration date
05/21/2012
Last updated
06/05/2013
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