National Provider Identifier Database

DESARAE JOHNSON, OTR/L – NPI #1396103677
Hand


Contact Information

DESARAE JOHNSON, OTR/L
2175 N ALMA SCHOOL RD
CHANDLER, AZ85224-2878
Phone: 480-963-9339
Fax:
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for DESARAE JOHNSON

NPI Number 1396103677
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 02/02/2016
Last updated 09/05/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 6454
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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