Individual
DEBRA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
(401) 443-5252
Mailing address
71 SINCLAIR AVE, PROVIDENCE, RI 02907-3527
(401) 318-7705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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