Provider Demographics
NPI:1386745065
Name:JOHNSON, JANYCE (OTR/L)
Entity type:Individual
Prefix:
First Name:JANYCE
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S FREMONT AVE
Mailing Address - Street 2:SUITE 10100 UNIT 27
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-8800
Mailing Address - Country:US
Mailing Address - Phone:626-289-7472
Mailing Address - Fax:626-289-8620
Practice Address - Street 1:1000 S FREMONT AVE
Practice Address - Street 2:SUITE 10100 UNIT 27
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8800
Practice Address - Country:US
Practice Address - Phone:626-289-7472
Practice Address - Fax:626-289-8620
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist