Individual
JOHNNY CHEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1515 SHASTA DR, DAVIS, CA 95616-6691
(530) 747-7000
Mailing address
1515 SHASTA DR, DAVIS, CA 95616-6691
(530) 747-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9778
CA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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