Individual
DERIYON SHENIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
3230 REMOND DR, DALLAS, TX 75211-1619
(214) 743-1200
Mailing address
1610 HILL ST APT 4117, GRAND PRAIRIE, TX 75050-5177
(678) 360-9511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125539
TX
Other
Enumeration date
06/18/2025
Last updated
05/11/2026
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