NPI 1427825389

Traci Lynn Johnson, COTAL

Practitioner Occupational Therapy Assistant Jacksonville, NC

Practice location

Address: 101 N Plain Rd, Jacksonville, NC 28546-6760
Phone: (910) 502-9338

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 16301 (NC)

Other Occupational Therapy Assistant providers in North Carolina →

Registry record

NPI: 1427825389
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2023
Record last updated: 11 Dec 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.