Individual
DYNESHIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 PACIFIC AVE STE 14215, DALLAS, TX 75201-4249
(972) 955-4684
Mailing address
1407 MAIN ST APT 1110, DALLAS, TX 75202-4112
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80932
TX
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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