Holly D Johnson, ITDS
NPI #1730235219 in St Petersburg, Florida
Provider Information
- NPI Number
- 1730235219
- Entity Type
- Individual
- Name
- Holly D Johnson, ITDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Credential
- ITDS
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2390 51ST ST N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33710-3539
- Phone
- (727) 323-7783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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