NPI 1780393835

Tymeckia Lavana Johnson

Practitioner Orientation and Mobility Training Rehabilitation Counselor Tempe, AZ

Practice location

Address: 148 W Orion St STE C-3, Tempe, AZ 85283-5603
Phone: (480) 597-8121
Mailing address: 339 N 75th St APT 328, Mesa, AZ 85207-7452

Registered specialties

Orientation and Mobility Training Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CX0006X

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Registry record

NPI: 1780393835
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2022
Record last updated: 17 Nov 2022

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.