LACANDICE NICOLE JOHNSON

TEMPLE TERRACE, FL
NPI1588179303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT19435)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AR  OTR3110)
Enumeration Date2017-12-04
Last Update Date2020-01-28
Business Address
LACANDICE NICOLE JOHNSON OT
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Phone number: 813-978-9700
Mailing Address
LACANDICE NICOLE JOHNSON OT
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700