Kristal L Johnson
Occupational Therapy Assistant
4600 Heritage Trace Pkwy
Fort Worth
, Texas 76244-8900
Kristal L Johnson
Occupational Therapy Assistant
4600 Heritage Trace Pkwy
Fort Worth
, Texas 76244-8900
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kristal L Johnson
- 3033 Veranda Vista Dr
- Fort Worth, TX
- Zip : 76177-2011
- Phone :
Second Address
- Kristal L Johnson
- 4600 Heritage Trace Pkwy
- Fort Worth, TX
- Zip : 76244-8900
- Phone : (817) 741-6093
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | ||
| Y | 224Z00000X | Occupational Therapy Assistant | 212581 | TX |
National Provider Identifier
| NPI | 1013497395 |
|---|---|
| Provider Name | Kristal L Johnson |
| First Address | Fort Worth, TX 76177-2011 |
| Second Address | Fort Worth, TX 76244-8900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2018 |
| Last Update Date | 16/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.