Individual
JOHNSTON LAJOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2071 E DETROIT ST, CHANDLER, AZ 85225-8252
(480) 277-6913
Mailing address
2071 E DETROIT ST, CHANDLER, AZ 85225-8252
(480) 277-6913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2794
AZ
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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