Individual
MRS. MICHELLE MELITO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
19073 INTERSTATE 45 S STE 145, CONROE, TX 77385-8744
(936) 321-4700
(936) 321-4848
Mailing address
22 S PENTENWELL CIR, THE WOODLANDS, TX 77382-1788
(281) 298-6404
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
111037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2888
BCBS
TX
Enumeration date
03/03/2007
Last updated
07/08/2007
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