Most Relevant Information
Provider Data
| NPI Number: | 1003031667 |
| Provider Name: | TABITHA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | R3240 |
Most Important Dates
| Enumeration Date: | 04/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5330 LAYTHAM PIKE
MAYSLICK
KY
410558930
Practice Location Phone/Fax
| Phone: | 6067636255 |
| Fax: | 6067636245 |
Provider Mailing Location
132 THOMPSON RIDGE RD
GERMANTOWN
KY
410449074
Provider Mailing Phone/Fax
| Phone: | 6067636255 |
| Fax: | 6067636245 |