| Doctor Name: | MRS. DEDRIKA ASHMORE JOHNSON |
| NPI Number: | 1225198963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | OT003926 |
| Business Practice Address: | 541 N. Historic Highway Demorest, GA - 30535 |
| Business Phone Number: | 7067540029 |
| Business Fax Number: | |
| Mailing Address: | 2854 Pleasant Oak Dr, BUFORD |
| State: | GA |
| Postal Code: | 305198081 |
| Phone Number: | 7709653351 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | OT003926 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |