Convalecia Marie Johnson

NPI #1104653757 in Irving, Texas

Provider Information

NPI Number: 1104653757
Entity Type: Individual
Name: Convalecia Marie Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 17, 2024
Last Updated: Jan 6, 2025

Practice Location

Address: 8222 N BELT LINE RD STE 175
City: Irving
State: Texas
ZIP Code: 75063-2276
Phone: (972) 241-9334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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