NPI 1043092349

Michaela Juliet Johnson, CO

Practitioner Orthotist Winston Salem, NC

Practice location

Address: 1399 Westgate Center Dr, Winston Salem, NC 27103-2934
Phone: (301) 448-5648
Fax: (336) 768-4869
Mailing address: 1315 Creekshire Way APT 346, Winston Salem, NC 27103-4055

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO006801 (NC)

Other Orthotist providers in North Carolina →

Registry record

NPI: 1043092349
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2023
Record last updated: 20 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.