Individual
CAROLYN MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT., DPT
Contact information
Practice address
10740 QUEENS BLVD, SUITE 207, FOREST HILLS, NY 11375-4200
(718) 261-3100
Mailing address
2168 19TH ST, ASTORIA, NY 11105-3933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0315351
NY
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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