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NPI Code Detail

MEDICARE: JANYCE JOHNSON OTR/L

MEDICARE:   JANYCE  JOHNSON  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 Therapist

General Provider Information

NPI Number : 1386745065
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANYCE JOHNSON OTR/L
Provider Business Mailing Address
First Line : 1000 S FREMONT AVE
Second Line : SUITE 10100 UNIT 27
City : ALHAMBRA
State : CA
Zip : 91803-8800
Country : US
Telephone Number : 626-289-7472
Fax Number : 626-289-8620
Provider Business Practice Location Address
First Line : 1000 S FREMONT AVE
Second Line : SUITE 10100 UNIT 27
City : ALHAMBRA
State : CA
Zip : 91803-8800
Country : US
Telephone Number : 626-289-7472
Fax Number : 626-289-8620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/06/2012

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Directions to “ JANYCE JOHNSON OTR/L” Practice Location

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