Provider Demographics
NPI:1124289681
Name:JOHNSON, WILLIAM RUFFIN (OTRL CHT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RUFFIN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:OTRL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4104
Mailing Address - Country:US
Mailing Address - Phone:828-253-7521
Mailing Address - Fax:828-251-5992
Practice Address - Street 1:53 S FRENCH BROAD AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3282
Practice Address - Country:US
Practice Address - Phone:828-350-0800
Practice Address - Fax:828-350-0801
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0384225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand