MRS. Kassidi Macemore Johnson, COTA/L
NPI #1477900553 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1477900553
- Entity Type
- Individual
- Name
- MRS. Kassidi Macemore Johnson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 19, 2016
- Last Updated
- May 19, 2016
Practice Location
- Address
- 237 MULBERRY ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4471
- Phone
- (336) 918-3431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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