| Deron Johnson, | |
|
3918 Pecan Grove Rd, Rudy, AR 72952-9026 | |
| (479) 632-6337 | |
| (479) 632-5916 |
| Full Name | Deron Johnson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3918 Pecan Grove Rd, Rudy, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366858458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2559 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Deron Johnson, 3918 Pecan Grove Rd, Rudy, AR 72952-9026 Ph: (479) 632-6337 | Deron Johnson, 3918 Pecan Grove Rd, Rudy, AR 72952-9026 Ph: (479) 632-6337 |
Justin Suggs, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
David Garman Wright, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Elizabeth Diane Lott, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Mrs. Debra L. Henderson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Sara Elizabeth Watkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 | |
Michael Derek Law, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 |