Individual
DANIELLE REIKO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5401 POST RD, BRONX, NY 10471-2606
(718) 601-5401
Mailing address
2128 BROADWAY APT 3F, ASTORIA, NY 11106-4533
(914) 255-5518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011520
NY
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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