Individual
MR. TIMOTHY JAMES JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
635 ANDERSON RD., SUITE 18, DAVIS, CA 95616
(530) 204-5123
(530) 759-2238
Mailing address
635 ANDERSON RD., SUITE 18, DAVIS, CA 95616
(530) 204-5123
(530) 759-2238
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO03570
—
224P00000X
Prosthetist
CPO03570
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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