IndividualActive
Antionette Johnson, COTA/L
NPI 1386174555 · Occupational Therapy Assistant · Dundalk, MD
Provider details
- NPI number
- 1386174555
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- AO2305 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7232 German Hill Rd
Dundalk, MD 21222-1260
Phone: (410) 282-6310
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Mandeville Lane
Joppa, MD 21085
Additional practice locations (1)
- 1514 Mandeville LnJoppa, MD 21085-3028Phone: (443) 540-8660
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.