JESSICA JOHNSON

BRANDON, FL
NPI1689919730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: FL  SA12617)
Additional Taxonomies235Z00000X Speech-Language Pathologist
(Licence: FL  SZ5988)
222Q00000X Developmental Therapist
(Licence: FL  SA12617)
Enumeration Date2012-11-30
Last Update Date2014-05-06
Business Address
JESSICA JOHNSON
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149
Mailing Address
JESSICA JOHNSON
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149