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Search › North Carolina › 224Z00000X

Kassidi Johnson, COTA/L

NPI 1477900553 · on the registry since 2016 · sole proprietor

Practice

Address
237 Mulberry St
Shallotte, NC 28470
Phone
(336) 918-3431
Organisation at this address
Autumn Corporation
Autumn Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina