Individual
MRS. CAITLIN MARIE JOHNSTON
Active
Individual
MRS. CAITLIN MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
119293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740602861
GROUP NPI
IN
01
—
46-4446075
TAX ID
IN
01
—
IN1872
MEDICARE
IN
Enumeration date
07/21/2016
Last updated
09/18/2024
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