Most Relevant Information
Provider Data
| NPI Number: | 1003177080 |
| Provider Name: | TONIKA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 15251 |
Most Important Dates
| Enumeration Date: | 06/06/2012 |
| Last Updated: | 12/20/2018 |
Provider Practice Location
5535 S WILLIAMSON BLVD
SUITE 774
PORT ORANGE
FL
321288311
Practice Location Phone/Fax
| Phone: | 3867564395 |
| Fax: | 3869447202 |
Provider Mailing Location
6801 SIENNA CLUB PL
LAUDERHILL
FL
333197317
Provider Mailing Phone/Fax
| Phone: | 9546005676 |
| Fax: |