Jacqueline Ruth Johnson, OTR

NPI #1447610753 in Coppell, Texas

Provider Information

NPI Number: 1447610753
Entity Type: Individual
Name: Jacqueline Ruth Johnson, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Feb 29, 2016
Last Updated: Feb 29, 2016

Practice Location

Address: 8840 CYPRESS WATERS BLVD
Address 2: SUITE 300
City: Coppell
State: Texas
ZIP Code: 75019-4594
Phone: (800) 929-2304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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