Individual
BILLY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 HWY 49 NORTH, BRINKLEY, AR 72012-2122
(501) 804-2304
Mailing address
19 BRENTWOOD CV, CABOT, AR 72023-7301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1322
AR
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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