Individual
JILL R JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
1820 E MANZANITA DR, PHOENIX, AZ 85020-3946
(704) 609-1233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7125
AZ
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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