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Individual
DEMOND JOHNSON
Active
Individual
DEMOND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
NULL
133N00000X
Nutritionist
—
NULL
171400000X
Health & Wellness Coach
Primary
—
NULL
174H00000X
Health Educator
—
NULL
224Z00000X
Occupational Therapy Assistant
—
NULL
225100000X
Physical Therapist
—
NULL
2255A2300X
Athletic Trainer
—
NULL
225700000X
Massage Therapist
—
NULL
225X00000X
Occupational Therapist
—
NULL
226000000X
Recreational Therapist Assistant
—
NULL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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