Individual
CARRIE SUE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
253 HANBURY RD W, CHESAPEAKE, VA 23322-4226
(757) 714-0148
Mailing address
315 NAPLES CT, CHESAPEAKE, VA 23322-8378
(757) 714-0148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001043
VA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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