Individual
KIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5107 US HIGHWAY 82 E, BLOSSOM, TX 75416-4161
(903) 703-9483
Mailing address
5107 US HIGHWAY 82 E, BLOSSOM, TX 75416-4161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
Primary
108288
TX
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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