Individual
MRS. RAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8240 JAYME DR APT 4-311, WINTER GARDEN, FL 34787-8853
(850) 228-7235
Mailing address
8240 JAYME DR APT 4-311, WINTER GARDEN, FL 34787-8853
(850) 228-7235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13528
FL
Other
Enumeration date
10/21/2015
Last updated
02/25/2021
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