Individual
JAMIE NANETTE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
105 DIAMOND BAR LN, WORLAND, WY 82401-7300
(307) 347-4636
Mailing address
105 DIAMOND BAR LN, WORLAND, WY 82401-7300
(307) 347-4636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT542
WY
Other
Enumeration date
06/01/2007
Last updated
01/23/2015
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