Johnson, Racine E
Johnson, Racine E is an individual health care provider with primary practice located at 105 Cliftwood Dr , Atlanta GA 30328-4840. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Johnson, Racine E can be contacted via phone (770) 613-1201.Contact Information
Primary practice address
105 Cliftwood Dr
Atlanta GA 30328-4840
Phone: (770) 613-1201
Fax: (912) 205-3504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6889 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 11610 | North Carolina |
Profile Details
| NPI number | 1407022064 |
|---|---|
| LBN Legal business name | Johnson, Racine E |
| Credentials | DPT/OT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Oct 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407022064 | NPPES |
| North Carolina | MEDICAID | 7302184 | |
| North Carolina | Other | Q399850281 |
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