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Individual

MR. DONALD JEFFREY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
13801 YORK RD, COCKEYSVILLE, MD 21030-1825
(410) 688-9805
Mailing address
427 ACADIA DR, JOPPA, MD 21085-4306
(410) 688-9805

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01140
MD

Other

Enumeration date
07/18/2007
Last updated
02/11/2023
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