Individual
KRISTIN C JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
(207) 621-7501
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
(207) 621-7501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2780
ME
Other
Enumeration date
04/06/2007
Last updated
05/03/2016
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