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Individual

KORY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 1ST ST NE FL 9, WASHINGTON, DC 20002-7953
(202) 442-5885
Mailing address
1732 1/2 EUCLID ST NW, WASHINGTON, DC 20009-2810
(207) 831-3566

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/09/2017
Last updated
08/18/2019
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