Individual
LAURA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1725 S HIGHWAY 183 STE 100, CLINTON, OK 73601-9531
(580) 323-1682
(580) 323-1711
Mailing address
PO BOX 334, CLINTON, OK 73601-0334
(580) 323-1682
(580) 323-1711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1387
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387
PHYSICAL THERAPIST LICENSE NUMBER
OK
Enumeration date
03/07/2016
Last updated
03/07/2016
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