Lacandice Nicole Johnson, OT

NPI #1588179303 in Temple Terrace, Florida

Provider Information

NPI Number
1588179303
Entity Type
Individual
Name
Lacandice Nicole Johnson, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Dec 4, 2017
Last Updated
Jan 28, 2020

Practice Location

Address
13020 N TELECOM PKWY
State
Florida
ZIP Code
33637
Phone
(813) 978-9700

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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