Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tony Deandre Johnson

Individual provider Occupational Therapy Assistant · NPI 1083052716

Mr. Tony Deandre Johnson is an Occupational Therapy Assistant in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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Practice location Address checks out

341 Yellow River Ln
Conyers, GA 30012-3637
Phone: (404) 933-6473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA001605 (GA)

Record details

NPI number1083052716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2013
Last updated in NPPESJune 4, 2013
Mailing address341 Yellow River Ln, Conyers, GA 30012-3637

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