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Individual

JENNINE MAREE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6410 FANNIN ST STE 950, HOUSTON, TX 77030-5204
(832) 325-7234
Mailing address
2324 ADDISON RD, HOUSTON, TX 77030-1128
(713) 392-1224

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104010
TX

Other

Enumeration date
08/01/2023
Last updated
09/16/2023
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