Individual
JENNIFER JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
1905 MCCORD HILL RD, WELLSBURG, WV 26070-3037
(304) 780-8050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002811
VA
224Z00000X
Occupational Therapy Assistant
Primary
C2472
WV
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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