Charlene Yvette Johnson, COTA/L

NPI #1649721044 in Shelby, Montana

Provider Information

NPI Number
1649721044
Entity Type
Individual
Name
Charlene Yvette Johnson, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Oct 20, 2016
Last Updated
Oct 20, 2016

Practice Location

Address
743 HILL AVE
Address 2
APT#1
City
Shelby
State
Montana
ZIP Code
59474-2717
Phone
(949) 292-2176

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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