Nicole Johnson
Nicole Johnson is an Occupational Therapy Assistant in Palm Bay, Florida. Licensed in Florida and New York. Registered with an NPI since 2017.
- Licensed in
- FL, NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1498 Port Malabar Blvd NEPalm Bay, FL 32905-5240
Phone: (321) 848-7349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 009365 (NY) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence OTA15677 (FL) |
Record details
| NPI number | 1922512078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 28, 2017 |
| Last updated in NPPES | November 28, 2017 |
| Mailing address | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 |
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