Individual
CAITLIN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
549 REACH RD, DEER ISLE, ME 04627-3342
(207) 322-2502
Mailing address
PO BOX 214, DEER ISLE, ME 04627-0214
(207) 322-2502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4777
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4777
STATE BOARD OF PHYSICAL THERAPY
ME
Enumeration date
07/21/2018
Last updated
07/21/2018
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