| NPI | 1669512190 |
|---|---|
| Former Name | NANNETTE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02856) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2006020304) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-06-25 |