Karen Lynn Johnson, COTA

Individual provider Active NPI Occupational Therapy Assistant · Carthage, TX

NPI 1235499070 · NPPES record last updated May 28, 2012

Key facts

NPI
1235499070
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
211568 (TX)
Practice address
115 N Adams St
Carthage, TX 75633-2446
Phone
(979) 418-2578
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
211568TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 211568 TX Yes

Addresses

Primary practice location

115 N Adams St
Carthage, TX 75633-2446

Mailing address

115 N Adams St
Carthage, TX 75633-2446
Phone (979) 418-2578

Other providers in Carthage, TX

All providers in Carthage, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.