Booker Johnson, COTA

NPI #1063779379 in Irving, Texas

Provider Information

NPI Number
1063779379
Entity Type
Individual
Name
Booker Johnson, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 12, 2012
Last Updated
Apr 12, 2012

Practice Location

Address
5001 STATESMAN DR
City
Irving
State
Texas
ZIP Code
75063-2414
Phone
(469) 524-1506

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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