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1063120434
AISHA MICHELE JOHNSON
VIRGINIA BEACH, VA
NPI
1063120434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002764)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
AISHA MICHELE JOHNSON COTA
4560 SOUTH BLVD STE 310
VIRGINIA BEACH, VA 23452-1160
Phone number: 757-490-3223
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Mailing Address
AISHA MICHELE JOHNSON COTA
5717 LENOX DR
VIRGINIA BEACH, VA 23455-2340
Phone number: 757-323-4463
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