NPI 1104253863

Amy Diana Johnson, COTAL

Practitioner Occupational Therapy Assistant Clermont, FL

Practice location

Address: 1651 Grandeflora Ave, Clermont, FL 34711-6271
Phone: (407) 592-6547

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 12900 (FL)

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Registry record

NPI: 1104253863
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2013
Record last updated: 26 Sep 2013

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.