Charles Johnson

NPI #1881097103 in Suwanee, Georgia

Provider Information

NPI Number
1881097103
Entity Type
Individual
Name
Charles Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 1, 2014
Last Updated
Oct 1, 2014

Practice Location

Address
3905 JOHNS CREEK CT
Address 2
SUITE 250
State
Georgia
ZIP Code
30024-1224
Phone
(770) 888-5221

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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