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

Individual provider Occupational Therapy Assistant · NPI 1831490267

Traci Lynn Johnson, COTA is an Occupational Therapy Assistant in Ridgeland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
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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 TA 1602 (MS)

Record details

NPI number1831490267
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESNovember 17, 2010

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