Ms. Katrina Denean Johnson
Occupational Therapy Assistant
1901 Whipporwill Ln
Kilgore
, Texas 75662-3880
Ms. Katrina Denean Johnson
Occupational Therapy Assistant
1901 Whipporwill Ln
Kilgore
, Texas 75662-3880
(903) 557-0746
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Katrina Denean Johnson
- 1517 Edna Ln
- Longview, TX
- Zip : 75602-4915
- Phone : (903) 557-0746
Second Address
- Ms. Katrina Denean Johnson
- 1901 Whipporwill Ln
- Kilgore, TX
- Zip : 75662-3880
- Phone : (903) 984-6264
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 209900 | TX |
National Provider Identifier
| NPI | 1023276318 |
|---|---|
| Provider Name | Ms. Katrina Denean Johnson |
| First Address | Longview, TX 75602-4915 |
| Second Address | Kilgore, TX 75662-3880 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2008 |
| Last Update Date | 23/05/2008 |
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.