Individual
ALLISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, GEORGE CLINIC, PROVIDENCE, RI 02903-4923
(401) 444-3201
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-3201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01161
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT01161
LICENSE
RI
Enumeration date
01/07/2008
Last updated
01/07/2008
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