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1154961266
CRYSTAL TISHA JOHNSON
ROCKVILLE, MD
NPI
1154961266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 08903)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
CRYSTAL TISHA JOHNSON OTR/L
11140 ROCKVILLE PIKE STE 303
ROCKVILLE, MD 20852-3148
Phone number: 301-231-7138
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Mailing Address
CRYSTAL TISHA JOHNSON OTR/L
12105 BENJAMIN ST
BELTSVILLE, MD 20705-1156
Phone number: 301-452-6218
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