MRS. Dora Diane Johnson, COTA

NPI #1598036105 in Holly, Michigan

Provider Information

NPI Number
1598036105
Entity Type
Individual
Name
MRS. Dora Diane Johnson, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 13, 2012
Last Updated
Jan 13, 2012

Practice Location

Address
9340 RUBY RD
City
Holly
ZIP Code
48442-9305
Phone
(810) 694-0290

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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