Individual
CHRISTIN NOEL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
61 TULIP LN, COLTS NECK, NJ 07722-1135
(732) 895-3942
Mailing address
61 TULIP LN, COLTS NECK, NJ 07722-1135
(732) 895-3942
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00748600
NJ
225XP0200X
Pediatric Occupational Therapist
5601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601
STATE LICENSE
GA
Enumeration date
01/18/2013
Last updated
12/10/2020
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