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1457820706
HEATHER BLYTHE JOHNSON
AUSTIN, TX
NPI
1457820706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215483)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
HEATHER BLYTHE JOHNSON COTA/L
15620 OPAL FIRE DR
AUSTIN, TX 78728-3655
Phone number: 206-601-6306
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Mailing Address
HEATHER BLYTHE JOHNSON COTA/L
15620 OPAL FIRE DR
AUSTIN, TX 78728-3655
Phone number: 206-601-6306
Copy
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