MR. Kendall Dewayne Johnson, COTA

NPI #1093028318 in Venice, Florida

Provider Information

NPI Number
1093028318
Entity Type
Individual
Name
MR. Kendall Dewayne Johnson, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jul 15, 2010
Last Updated
Jul 15, 2010

Practice Location

Address
744 THE RIALTO
City
Venice
State
Florida
ZIP Code
34285-3524
Phone
(941) 484-5500

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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