Individual
SANDRA LYNNE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7275
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
393
WI
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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