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NPI Code Detail

MEDICARE: MS. ROBIN RENEE JOHNSON MOT, OTR/L

MEDICARE: MS. ROBIN RENEE JOHNSON MOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist9177NC

General Provider Information

NPI Number : 1013328392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN RENEE JOHNSON MOT, OTR/L
Provider Business Mailing Address
First Line : 1220 HOLLY HILL DR
Second Line :
City : DURHAM
State : NC
Zip : 27713-6058
Country : US
Telephone Number : 614-403-1355
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line : DEPARTMENT OF OT/PT
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-966-3608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 10/31/2014

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