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NPI Code Detail

MEDICARE: SANDRA JOYCE JOHANNES

MEDICARE: SANDRA JOYCE JOHANNES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA189RI

General Provider Information

NPI Number : 1851229405
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA JOYCE JOHANNES
Provider Business Mailing Address
First Line : 8 BARBETTE DR
Second Line :
City : LINCOLN
State : RI
Zip : 02865-5136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 RHODES AVE
Second Line :
City : NORTH SMITHFIELD
State : RI
Zip : 02896-6987
Country : US
Telephone Number : 401-767-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ SANDRA JOYCE JOHANNES ” Practice Location

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