Most Relevant Information
Provider Data
NPI Number: | 1003262494 |
Provider Name: | DORA JOHNSON OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | OT0000000774 |
Most Important Dates
Enumeration Date: | 05/04/2016 |
Last Updated: | 05/04/2016 |
Provider Practice Location
600 FOSTER DR
LENOIR CITY
TN
377725914
Practice Location Phone/Fax
Phone: | 8659641068 |
Fax: |
Provider Mailing Location
600 FOSTER DR
LENOIR CITY
TN
377725914
Provider Mailing Phone/Fax
Phone: | 8659641068 |
Fax: |