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1396764809
LISA DIANE JOHNSON
MEMPHIS, TN
NPI
1396764809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT0000000032)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
MRS. LISA DIANE JOHNSON OTR/L
1030 JEFFERSON AVE 117 OT
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
MRS. LISA DIANE JOHNSON OTR/L
61 LOCHMEADE DR
ATOKA, TN 38004-7870
Phone number: 901-837-2557
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