Kandi Johnson OTR

NPI 1750514741 - Occupational Therapist - 225X00000X

NPI Details
NPI 1750514741
Gender Female
Enumeration Date 08/25/2009
Last Updated 08/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5610 DARTMOUTH ST
LUBBOCK TX, 79416-1335, US
Phone (806) 787-4087
Fax
Business Location
1901 MEDI PARK DR
SUITE 65
AMARILLO TX, 79106-2110, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Texas
License Number 112539
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According to our database, Kandi Johnson OTR NPI is 1750514741, taxonomy code is 225X00000X and license number is 112539, license state is located at Texas. Kandi Johnson OTR physically located at 5610 Dartmouth St, Lubbock TX, 79416-1335. NPI Number Kandi Johnson OTR has the Individual type.

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1750514741 NPI number is provided on an as is basis without warranty of any kind. 1750514741 is maintained by the National Plan & Provider Enumeration System. The contents of Kandi Johnson OTR are for informational purposes only.