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Ja'Kera Johnson

Occupational Therapy Assistant in Tallahassee, FL. Individual provider (NPI-1).

NPI number1831979459
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1831979459
Entity type
Individual (NPI-1)
Name
Ja'Kera Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 2, 2023
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA19515FLYes

Practice location

6135 Williams Rd
Tallahassee, FL 32311-9107

Phone 850-294-9716

Mailing address

272 Loblolly Cir
Midway, FL 32343-4290

Phone 850-459-3508

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