NPI Profile for DESARAE JOHNSON in CHANDLER, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1396103677 |
|
| Status | Active | |
| Credentials | OTR/L (Occupational Therapist, Registered, Licensed) | |
| Entity | Individual | |
| Enumeration date | 02/02/2016 | |
| Last updated | 09/05/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DESARAE JOHNSON
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