Individual
DESARAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2175 N ALMA SCHOOL RD, CHANDLER, AZ 85224-2878
(480) 963-9339
Mailing address
2195 W CHANDLER BLVD, STE #180, CHANDLER, AZ 85224
(480) 963-9339
(480) 963-4098
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6454
AZ
Other
Enumeration date
02/02/2016
Last updated
09/05/2017
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