Johnson, Thera Elesisus

Johnson, Thera Elesisus is an sole proprietor health care provider with primary practice located at 2031 Nw 184Th St , Miami Gardens FL 33056-2753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Johnson, Thera Elesisus can be contacted via phone (305) 502-8923.

Contact Information

Primary practice address
2031 Nw 184Th St Miami Gardens FL 33056-2753
Phone: (305) 502-8923
Fax: (305) 624-6804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1972906055
LBN Legal business name Johnson, Thera Elesisus
Credentials CTRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2014
Last updated Oct 2nd, 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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