| NPI | 1013167584 |
|---|---|
| Former Name | REBECCA GRACE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3454) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4114) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-01-13 |