Individual
DIANE GAMMON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650
(520) 803-9727
(502) 378-2683
Mailing address
3455 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5380
(520) 803-9727
(520) 378-2683
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119003467
VA
Other
Enumeration date
06/09/2006
Last updated
09/30/2015
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