Jedidiah J Johnson
NPI #1669093753 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1669093753
- Entity Type
- Individual
- Name
- Jedidiah J Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Apr 30, 2020
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 702 HICKORY ST
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923-5040
- Phone
- (870) 464-1337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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