Terri Broderick Johnson OTR L

NPI 1275754186 - Occupational Therapist - 225X00000X

NPI Details
NPI 1275754186
Gender Female
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1370 RIDGEWOOD DR SUITE 22
CALIFORNIA CHILDRENS SERVICES MEDICAL THERAPY PROGRAM
CHICO CA, 95973, US
Phone (530) 895-6546
Fax (530) 895-6557
Business Location
1454 BROADWAY ST
CHICO CA, 95928, US
Phone (530) 894-1284
Fax
Toxanomy
Taxonomy Code 225X00000X
License State California
License Number OT2259
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According to our database, Mrs. Terri Broderick Johnson OTR L NPI is 1275754186, taxonomy code is 225X00000X and license number is OT2259, license state is located at California. Terri Broderick Johnson OTR L physically located at 1370 Ridgewood Dr Suite 22, Chico CA, 95973. NPI Number Terri Broderick Johnson OTR L has the Individual type.

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1275754186 NPI number is provided on an as is basis without warranty of any kind. 1275754186 is maintained by the National Plan & Provider Enumeration System. The contents of Terri Broderick Johnson OTR L are for informational purposes only.