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Contact Information

NICOLLE E JOHNSON, MS, OTR/L, CLT
180 HOSPITAL CORPS BLVD.
CAMP LEJEUNE, NC28547
 Phone: 910-449-1129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLLE E JOHNSON · (Female)

NPI # 1235678434
Status Active
Credentials MS, OTR/L, CLT
Entity Individual
Enumeration date 02/21/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 7166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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