Individual
SAMANTHA LEONA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
Mailing address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20180328013
MO
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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