NPI 1124404108

Nick Jason Johnson, COTA

Practitioner Occupational Therapy Assistant Augusta, GA

Practice location

Address: 799 Done Roven Rd, Augusta, GA 30906-9757
Phone: (706) 755-2902
Mailing address: 2601 Patricia Dr Lot 76, Bellview, FL 32526-3148

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 16716 (FL)

Other Occupational Therapy Assistant providers in Georgia →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3478 (SC)

Registry record

NPI: 1124404108
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2015
Record last updated: 19 Aug 2021

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.