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Individual

MR. DEVON JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1226 E 56TH ST, BROOKLYN, NY 11234-3330
(718) 531-5068
Mailing address
1226 E 56TH ST, BROOKLYN, NY 11234-3330
(718) 531-5068

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004526-1
NY
224Z00000X
Occupational Therapy Assistant
10485
FL

Other

Enumeration date
12/09/2010
Last updated
12/09/2010
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