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Individual

MRS. CAITLIN MARIE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
17360 NORTHWEST FWY STE A, JERSEY VILLAGE, TX 77040-1114
(713) 849-2253
Mailing address
17360 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1114
(713) 849-2253

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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