Individual
MRS. MAI-PHUONG JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3012 W FULLERTON AVE, #4, CHICAGO, IL 60647-2808
(773) 276-5212
Mailing address
3012 W FULLERTON AVE, #4, CHICAGO, IL 60647-2808
(773) 276-5212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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