Individual
ABBY NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15333 SAN PEDRO AVE, HILL COUNTRY VILLAGE, TX 78232-3719
(210) 979-0244
Mailing address
1506 W FRENCH PL, SAN ANTONIO, TX 78201-5542
(062) 825-7739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216743
TX
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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