BRADY NICHOLAS JOHNSON

FORT CAMPBELL, KY
NPI1386407864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: HI  OT-2436)
Enumeration Date2024-02-06
Last Update Date2024-02-06
Business Address
BRADY NICHOLAS JOHNSON OTD, OTR/L
6773 DESERT STORM AVE BLDG 6749
FORT CAMPBELL, KY 42223-5504
Phone number: 563-940-5173
Mailing Address
BRADY NICHOLAS JOHNSON OTD, OTR/L
2934 DUNLOP LN APT 312
CLARKSVILLE, TN 37043-1455
Phone number: 563-940-5173