Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1600 N IH 35, SAN MARCOS, TX 78666-6984
(512) 353-5026
Mailing address
715 W SLAUGHTER LN APT 311, AUSTIN, TX 78748-1719
(731) 514-9956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213323
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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