NICOLE JOHNSON

PALM BAY, FL
NPI1922512078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  009365)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA15677)
Enumeration Date2017-11-28
Last Update Date2017-11-28
Business Address
NICOLE JOHNSON
1498 PORT MALABAR BLVD NE
PALM BAY, FL 32905-5240
Phone number: 321-848-7349
Mailing Address
NICOLE JOHNSON
1498 PORT MALABAR BLVD NE
PALM BAY, FL 32905-5240
Phone number: 321-848-7349