| NPI | 1861794588 |
|---|---|
| Former Name | DIANA L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.009018) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 005350) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |