Healthcare Provider Details

I. General information

NPI: 1356323695
Provider Name (Legal Business Name): APRIL DAWN JOHNSON OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL DAWN KEIM OT

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 NEWTOWN RD DIANNE D EPPLEIN & ASSOCIATES
VIRGINIA BEACH VA
23462-1116
US

IV. Provider business mailing address

818 NEWTOWN RD DIANNE D EPPLEIN & ASSOCIATES
VIRGINIA BEACH VA
23462-1116
US

V. Phone/Fax

Practice location:
  • Phone: 757-473-8016
  • Fax: 757-473-3580
Mailing address:
  • Phone: 757-473-8016
  • Fax: 757-473-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0119002894
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119002894
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: