Individual provider · Type 1 NPI

Johnny Williams-Ray Defroe Iii, OTR/L

Occupational Therapist · Stockton, CA

NPI number 1821609264 Active

Practice location

6940 Pacific Ave
Stockton, CA 95207-2602

Call (209) 477-4817 Map

Mailing address

941 W 47th St
Los Angeles, CA 90037-2948

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X21479 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1821609264

Johnny Williams-Ray Defroe Iii, OTR/L's National Provider Identifier is 1821609264, issued on Aug 10, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 10, 2020.