NPI 1225624687
Johnny Marvin Brown, COTA
Practice location
- Address
- 880 3rd Ave, Chula Vista, CA 91911-1305
- Phone
- (619) 662-4100
- Mailing address
- 3465 Niblick Dr, La Mesa, CA 91941-8054
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1225624687
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Dec 2020
- Record last updated
- 18 Dec 2020
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.