Individual
MRS. DEDRIKA ASHMORE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 N. HISTORIC HIGHWAY, DEMOREST, GA 30535
(706) 754-0029
Mailing address
2854 PLEASANT OAK DR, BUFORD, GA 30519-8081
(770) 965-3351
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
OT003926
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT003926
GA
Other
Enumeration date
12/11/2006
Last updated
09/11/2025
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