Individual
DONNA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HARTFORD AVE UNIT 126, JOHNSTON, RI 02919-7144
(401) 290-8114
Mailing address
1200 HARTFORD AVE UNIT 126, JOHNSTON, RI 02919-7144
(401) 290-8114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01772
RI
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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