Convalecia Marie Johnson
Occupational Therapist in Irving, TX. Individual provider (NPI-1).
NPI number1104653757
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1104653757
- Entity type
- Individual (NPI-1)
- Name
- Convalecia Marie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 125007 | TX | Yes |
Practice location
8222 N Belt Line Rd Ste 175Irving, TX 75063-2276
Phone 972-241-9334
Mailing address
2904 S Collins St Apt 131Arlington, TX 76014-2278
Phone 214-325-9123
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All 114 Occupational Therapist providers in Irving · All 5,366 providers in Irving
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