NPI 1720561863

Jeremy Johnson, CTRS

Practitioner Recreation Therapist Suitland, MD

Practice location

Address: 3414 Curtis Dr, Suitland, MD 20746-4935
Phone: (202) 271-2395

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 59263

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Registry record

NPI: 1720561863
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2018
Record last updated: 14 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.