Individual
DENNIS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O. CPOA
Contact information
Practice address
3161 PUTNAM BLVD, PLEASANT HILL, CA 94523-4650
(925) 943-1119
(925) 943-2493
Mailing address
3161 PUTNAM BLVD, PLEASANT HILL, CA 94523-4650
(925) 943-1119
(925) 943-2493
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51588
BOARD OF CERTIFICATION/ACCREDITATION,INTERNATIONAL
MD
01
—
CPOA0318
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS AND PEDORTHICS
VA
Enumeration date
04/07/2014
Last updated
04/07/2014
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