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1386407864
BRADY NICHOLAS JOHNSON
FORT CAMPBELL, KY
NPI
1386407864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: HI OT-2436)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
BRADY NICHOLAS JOHNSON OTD, OTR/L
6773 DESERT STORM AVE BLDG 6749
FORT CAMPBELL, KY 42223-5504
Phone number: 563-940-5173
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Mailing Address
BRADY NICHOLAS JOHNSON OTD, OTR/L
2934 DUNLOP LN APT 312
CLARKSVILLE, TN 37043-1455
Phone number: 563-940-5173
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