Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Henry Breavoid Johnson, OTR

Individual provider Contractor · NPI 1558482661

Mr. Henry Breavoid Johnson, OTR is a Contractor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

435 E Allens Ln
Philadelphia, PA 19119-1104
Phone: (215) 753-9033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence OCC003859L (PA)

Record details

NPI number1558482661
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address435 E Allens Ln, Philadelphia, PA 19119-1104

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