Individual
DEMI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8961 TESORO DR, SAN ANTONIO, TX 78217-6209
(210) 407-0000
Mailing address
6079 CRAB ORCH, SAN ANTONIO, TX 78240-2227
(480) 768-7769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
120176
TX
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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