Individual
MS. ANDREA G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7919 N 9TH ST, TACOMA, WA 98406-1095
(206) 783-4095
Mailing address
7919 N 9TH ST, TACOMA, WA 98406-1095
(206) 783-4095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00001266
WA
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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