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DORIAN SHERROD JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTA

Contact information

Practice address
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
(214) 547-7328
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
443192
TX

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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