Individual
DONOVAN ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L CNS
Contact information
Practice address
10625 LEFFINGWELL RD, NORWALK, CA 90650-3434
(562) 864-2541
Mailing address
4661 DANA DR, LA PALMA, CA 90623-1610
(562) 688-2065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21462
CA
Other
Enumeration date
03/19/2022
Last updated
03/22/2022
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