Johnson, Ebonie

Johnson, Ebonie is an sole proprietor health care provider with primary practice located at 135 E Upsal St , Philadelphia PA 19119-2340. 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 / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Johnson, Ebonie can be contacted via phone (267) 335-4602.

Contact Information

Primary practice address
135 E Upsal St Philadelphia PA 19119-2340
Phone: (267) 335-4602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC010691 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 9213 North Carolina

Profile Details

NPI number 1750646022
LBN Legal business name Johnson, Ebonie
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Sep 16th, 2014 - about 10 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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