| Doctor Name: | MS. RETTA PASCHAL JOHNSON |
| NPI Number: | 1326063033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L, CHT |
| License Number: | 0289 |
| Business Practice Address: | 4901 Deerfoot Pkwy Ste 200 Trussville, AL - 351732697 |
| Business Phone Number: | 2059609995 |
| Business Fax Number: | 2056619841 |
| Mailing Address: | Po Box 723, TRUSSVILLE |
| State: | AL |
| Postal Code: | 351730723 |
| Phone Number: | 2059609995 |
| Fax Number: | 2056619841 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 0289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |