Tabitha Johnson

NPI #1003031667 in Mayslick, Kentucky

Provider Information

NPI Number: 1003031667
Entity Type: Individual
Name: Tabitha Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5330 LAYTHAM PIKE
City: Mayslick
State: Kentucky
ZIP Code: 41055-8930
Phone: (606) 763-6255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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