Individual
TOM LEONARD JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1800 TILTON RD, PORT SAINT LUCIE, FL 34952-2845
(772) 332-8890
Mailing address
1800 TILTON RD, PORT SAINT LUCIE, FL 34952-2845
(772) 332-8890
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
37122
FL
Other
Enumeration date
10/17/2010
Last updated
10/17/2010
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