Individual
GREGORY A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2515 DOUBLE CHURCHES RD, HUMAN PERFORMANCE AND REHABILITATION CENTER, COLUMBUS, GA 31909-2742
(706) 660-5495
Mailing address
2515 DOUBLE CHURCHES RD, HUMAN PERFORMANCE AND REHABILITATION CENTER, COLUMBUS, GA 31909-2742
(706) 660-5495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT001999
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT001999
GA
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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