Individual
MEGAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8555
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018448400
—
FL
Enumeration date
09/28/2016
Last updated
10/19/2021
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