Individual
MR. TIMOTHY TOBIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
104 S WASHINGTON ST, JUNCTION CITY, KS 66441-3557
(785) 238-3747
(785) 238-5514
Mailing address
1126 N CEDAR ST, ABILENE, KS 67410-2022
(785) 263-2694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800074
KS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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