Johnson, Nicole

Johnson, Nicole is an individual health care provider with primary practice located at 1498 Port Malabar Blvd Ne , Palm Bay FL 32905-5240. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Johnson, Nicole can be contacted via phone (321) 848-7349.

Contact Information

Primary practice address
1498 Port Malabar Blvd Ne Palm Bay FL 32905-5240
Phone: (321) 848-7349
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 009365 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA15677 Florida

Profile Details

NPI number 1922512078
LBN Legal business name Johnson, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2017
Last updated Nov 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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