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NPI Code Detail

MEDICARE: MRS. OFELIA ELENA JOHNSON

MEDICARE: MRS. OFELIA ELENA JOHNSON
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
1235500000XSpeech/Language/Hearing Specialist/Technologist

General Provider Information

NPI Number : 1750523502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OFELIA ELENA JOHNSON
Provider Business Mailing Address
First Line : 4842 RITTENHOUSE DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-4361
Country : US
Telephone Number : 937-235-6602
Fax Number : 937-208-4515
Provider Business Practice Location Address
First Line : 4842 RITTENHOUSE DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-4361
Country : US
Telephone Number : 937-235-6602
Fax Number : 937-208-4515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2009
Last Update Date : 03/25/2009

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Directions to “ MRS. OFELIA ELENA JOHNSON ” Practice Location

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