Johnson, Monica J

Johnson, Monica J is an individual health care provider with primary practice located at 2425 E Southlake Blvd Pedia Plex Suite 100, Southlake TX 76092-6674. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnson, Monica J can be contacted via phone (817) 442-0222.

Contact Information

Primary practice address
2425 E Southlake Blvd Pedia Plex Suite 100 Southlake TX 76092-6674
Phone: (817) 442-0222
Fax: (817) 442-0223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 104325 Texas

Profile Details

NPI number 1902075088
LBN Legal business name Johnson, Monica J
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2008
Last updated Dec 22nd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902075088 NPPES
Texas MEDICAID 181917901
Texas Other 8T5481

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