TRACI LYNN JOHNSON

RIDGELAND, MS
NPI1831490267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA 1602)
Enumeration Date2010-11-17
Last Update Date2010-11-17
Business Address
-- TRACI LYNN JOHNSON COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- TRACI LYNN JOHNSON COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777