Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0384 | NC |
NPI | 1124289681 |
---|---|
Provider Name | William Ruffin Johnson |
First Address | Asheville, NC 28801-4104 |
Second Address | Asheville, NC 28801-3282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 11/09/2008 |