Krystal Jade Johnson

NPI #1245649821 in Smyrna, Tennessee

Provider Information

NPI Number
1245649821
Entity Type
Individual
Name
Krystal Jade Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Aug 7, 2014
Last Updated
Aug 7, 2014

Practice Location

Address
301 WOLVERINE TRL
Address 2
SUITE 201
City
Smyrna
ZIP Code
37167-5656
Phone
(615) 220-5796

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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