Deron Johnson Valid NPI
Individual provider · Occupational Therapist · Rudy, AR
- NPI
- 1366858458
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225X00000X
- License number
- 2559 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-07-09
- Last updated
- 2014-07-09
Practice location
3918 Pecan Grove Rd
Rudy, AR 72952-9026
(479) 632-6337