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Individual

MS. DEANNA JEAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
15900 US-6, TROY, PA 16947
(570) 297-4111
Mailing address
23 KINGSBURY AVE, TOWANDA, PA 18848-2102
(570) 637-2460

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009798
PA

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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