| NPI | 1609303106 |
|---|---|
| Former Name | REBECCA JO LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 1043) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SD 1043) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-12-19 |