Individual
DR. AVANI CHANEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1643 LANCASTER DR STE 100, GRAPEVINE, TX 76051-3593
(817) 329-2524
Mailing address
922 VALLEY VIEW AVE, RED OAK, TX 75154-3930
(469) 337-5067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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