MRS. Charlotte Richardson Johnson, COTA/L
NPI #1619304003 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1619304003
- Entity Type
- Individual
- Name
- MRS. Charlotte Richardson Johnson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 1, 2013
- Last Updated
- Oct 1, 2013
Practice Location
- Address
- 110 TEALBRIAR ST
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425-4561
- Phone
- (910) 470-2622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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