JOHNNY WILLIAMS-RAY DEFROE

STOCKTON, CA
NPI1821609264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  21479)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
JOHNNY WILLIAMS-RAY DEFROE OTR/L
6940 PACIFIC AVE
STOCKTON, CA 95207-2602
Phone number: 209-477-4817
Mailing Address
JOHNNY WILLIAMS-RAY DEFROE OTR/L
941 W 47TH ST
LOS ANGELES, CA 90037-2948
Phone number: 310-780-9062
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