Individual
ELLIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SANDHILL DR STE 101-102, MIDDLETOWN, DE 19709-5859
(302) 376-5066
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0012518
DE
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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