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1194744946
OTIS ALEXANDER JOHNSON
RICHMOND, VA
NPI
1194744946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119000084)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Mr. OTIS ALEXANDER JOHNSON OTR/L
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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Mailing Address
Mr. OTIS ALEXANDER JOHNSON OTR/L
1701 HUNGARY RD
RICHMOND, VA 23228-2334
Phone number: 804-303-7612
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