Individual
MR. JEROME M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 BRANCH AVE, SUITE 403, TEMPLE HILLS, MD 20748-1242
(301) 899-0007
(301) 899-7008
Mailing address
7906 WOODYARD RD, CLINTON, MD 20735-1961
(301) 452-6198
(240) 823-9373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04266
MD
Other
Enumeration date
06/20/2009
Last updated
06/20/2009
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