Individual
MRS. MARTHA F JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 360-4000
Mailing address
6113 EDGEWOOD TER, ALEXANDRIA, VA 22307-1126
(703) 329-9790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000541
VA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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