Individual
MRS. SUSAN STOPPER JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
159 BROWN ST, PROVIDENCE, RI 02906-1539
(401) 421-8178
Mailing address
159 BROWN ST, PROVIDENCE, RI 02906-1539
(401) 421-8178
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT00078
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00078
OCCUPATIONAL THERAPIST
RI
Enumeration date
03/19/2007
Last updated
07/08/2007
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