Dwayne Johnson
NPI #1225872542 in East Cleveland, Ohio
Provider Information
- NPI Number
- 1225872542
- Entity Type
- Individual
- Name
- Dwayne Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jun 21, 2024
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 14001 SCIOTO AVE
- City
- East Cleveland
- State
- Ohio
- ZIP Code
- 44112-3738
- Phone
- (216) 421-4427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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